The following criteria will be used by the Development Committee for selection:

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1 AWARDS January 1 of this year) SOUTHERN DISTRICT SENIOR (must be 13 years or older as of COUNTY MEDALS The following criteria will be used by the Development Committee for selection:

2 Accomplishment in 4-H projects, participation in activities, events in the area of the award and other leadership experiences. 2. Length of time involved in the project or activity for which the award is being considered. 3. Leader's recommendation must be received for consideration.

3 Submitted Record Book completed to date. Record book should include Project Record Sheet for each medal applied for and Activity Record Sheet. 5. Make a copy of the form for your records. 6. You must complete one application for every medal for which you apply.

4 IF YOU ARE APPLYING FOR A MEDAL IN AN AREA THAT IS NOT YOUR MAIN PROJECT, BE SURE TO STATE HOW YOU LEARNED THE INFORMATION IN SECTION I.A. ON YOUR APPLICATION. The following are eligibility rules for County Medals: 1. Members must be 13 as of January 1 of this year and must not have passed their 19th birthday by January Members must be enrolled as 4-Hers for at least two years. 3. Members may receive more than one county medal in a year at the discretion of the Selection Committee. 4. Members may receive a county medal award more than once in the same project area only when outstanding growth is shown in the project. COUNTY MEDALS MAY BE AWARDED IN THE FOLLOWING PROJECT AREAS CITIZENSHIP & CIVIC EDUCATION - Citizenship, Community Beautification COMMUNICATIONS & EXPRESSIVE ARTS - Fashion Revue, Photography, Art, Drama, Needlecraft, Music, Knitting, Leathercraft and Cake Decorating CONSUMER & FAMILY SCIENCES - Clothing and Textiles, Consumer Education, Home Management, Home Environment, Child Care, Home Improvement and Family Life ENVIRONMENTAL EDUCATION AND EARTH SCIENCES - Conservation and Natural Resources, Forestry, Energy Management, Fisheries and Wildlife, Automotive, Electric Energy, Petroleum Power, Tractor HEALTHY LIFESTYLES EDUCATION - Bread, Fitness Leadership, Food and Nutrition, Dairy Foods, Food Conservation, Preservation & Safety, Health, Recreation, Camping, Athletics, Safety, Shooting Sports, Bicycle, Double Dutch, ATV, Snowmobiling and Motorcycle, Careers, Vision Education PERSONAL DEVELOPMENT AND LEADERSHIP - Achievement, Leadership, Public Speaking PLANTS AND ANIMALS - Agricultural, Beef, Dairy, Horse, Sheep, Swine, Dairy Goats, Gardening and Horticulture, Field Crops, Plant and Soil Science, Veal, Dog Care/ Training, Rabbits, Small Animals SCIENCE AND TECHNOLOGY - Entomology, Veterinary Science, Wood Science, Computers, Aerospace, Plant Pathology, Marine Science, Geology DUE MAY 1 COUNTY MEDAL AWARD APPLICATION

5 Due May 1. This Application and a Record Book, completed to date, must accompany each Medal application. DO NOT ADD PAGES, ONLY USE THE SPACE PROVIDED. Name # Years in 4- H Address Town Zip Telephone Age Birthdate School Grade Name of Club I would like to be considered for a county medal in Have you ever received a county medal in this area? (Project Area) [] NO [] YES Year Received Total years in project area I. LEARNING A. Summarize the main things you learned in this project area. (If you are applying for a medal in a project that is NOT your main one, state how/where you learned the information ie. Red Cross Course, school, adult, reading, etc.)

6 B. How have you used the information that you have learned? Do not list awards. C. Leadership Please list any leadership roles you have assumed in this project area. Please be brief and specific. LEADER RECOMMENDATION Please write a statement explaining why this member should be considered for the

7 recognition requested. (If the leader is the member's parent, another significant adult should, if possible, write the statement). Include things like: quality of work, attendance, motivation and leadership ability. As a Leader do you recommend this youth for this award this year? [ ] yes [ ] no Leader's signature Date

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