Somerset County Overall Outstanding 4-H Member Award and Scholarship Award Application

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Somerset County Overall Outstanding 4-H Member Award and Scholarship Award Application Check at least one (you may apply for both): Outstanding 4-H Member Award (must be a high school graduate) 4-H

1 Somerset County Overall Outstanding 4-H Member Award and Scholarship Award Application Check at least one (you may apply for both): Outstanding 4-H Member Award (must be a high school graduate) 4-H Scholarship Award Program (Must meet the requirements as listed below) I am applying for: (check all that apply) Somerset County 4-H Scholarships Dairy Scholarship Beef Scholarship Horse Scholarship Scholarship Award Program Guidelines Eligibility Applicants: o Must have been a member of a Somerset County 4-H club and completed at least one 4-H project each o o year during their last three years INCLUDING the year they graduated from high school. Must have graduated from high school and have been accepted for admission at an approved institution of advanced education or vocational training leading to a certificate of graduation. Members may apply for up to one year after they graduate from high school, as long as the other requirements are met. Selection Completed applications must be submitted by 4:00 p.m. on September 1. Applications consist of the completed scholarship award application, 4-H story and one letter of recommendation from a 4-H leader. The applications will go to the Awards Committee who will review them and make recommendations to the Somerset County 4-H Development Fund, Inc. Prior to submitting an application to the Extension Office, applicants need to give their application to their key leader. The key leader will be asked to review and sign off approving the application for review by the Awards Committee. Amount Amount and number of awards will be determined by the Somerset County 4-H Development Fund, Inc. No individual will receive scholarship awards for more than one year. If a donor, other than the Development Fund, has an award being handled by this program, the entire amount specified by the donor will be given in awards. Presentation The award(s) will be presented at the Annual 4-H Recognition Banquet.

2 Somerset County Overall Outstanding 4-H Member Award and Scholarship Award Application Checklist for completed application packet: I. Completed Application II. 4-H Goals and Future Plans III. 4-H Project Work IV. 4-H Leadership Experiences V. 4-H County, Regional, State, and National Participation VI. School and Community Activities VII. Community Service VIII. 4-H Story (1-3-page story about your 4-H career) IX. Recommendation- One completed recommendation form from a 4-H Leader Note: Do not ask a member of your immediate family to complete a recommendation form. Completed recommendation forms may be attached to the application or forwarded directly to the 4-H County Extension Educator. X. Submit a digital copy of your Senior photo by to: SomersetExt@psu.edu Completed forms are due to the extension office September 1 by 4:00 p.m. Send to: Somerset County 4-H Development Fund, Inc Glades Pike, Suite 101 Somerset, PA 1550

3 Somerset County Outstanding 4-H Member Award and Scholarship Award Application (Must be at least 17 years of age as of January 1) Due September 1 by 4:00 p.m. I. Application To be considered for a Somerset County Outstanding 4-H Member Award or to become a scholarship recipient, you must submit this application. Name Address City State Zip Male Female Years in 4-H Phone Number ( ) Age as of January 1 st of this year Date of Birth / / Name of Parent(s) or Guardian(s) Name of 4-H Club(s) How many club meetings did your club hold this year? # you attended Ladder of Achievement - Highest Clover Award achieved Name of college or vocational training program What semester are you entering? Major area of study I have personally prepared this application and believe it to be accurate. Date / / Member s Signature Date / / Parent s or Guardian s Signature My signature below indicates that I have read this application and believe it to be correct. I certify that this individual is a current and active member of the 4-H Youth Program in Somerset County. By signing, I am approving this application for review. Date / / 4-H Key Leader s Signature

4 II. 4-H Goals and Future Plans- In a few sentences, discuss your goals and future plans. III. 4-H Project Work - Highlight your main project areas throughout your 4-H career Include what you learned and how you mastered each project level. IV. 4-H Leadership Experiences Tell us about 4-H leadership experiences you have had at county, regional, state, or national events. Highlight your leadership roles at the club level. Include any special honors or recognition received.

5 V. 4-H County, Regional, State, and National Participation - Highlight your 4-H activities at the county, regional, state and national level. VI. School and Community Activities - Highlight your school and community activities during your 4-H career. VII. Community Service- Highlight the community service activities you completed during your 4-H career. Include what you learned from your participation in those activities.

6 VIII. 4-H Story write a 1-3-page essay and address the following points: What has been your best 4-H experience and why, What skills have you learned from being in 4-H (project and life skills), What would you recommend to younger members?

8 IX. Recommendation to be completed by a current 4-H leader in good standing with the county extension office. Somerset County 4-H Youth Development Program Recognition Application Recommendation for: The individual indicated above is submitting an application for the Somerset County Outstanding 4-H Member Award and/or 4-H Scholarship Award. The applicant is required to provide a completed recommendation form from a current 4-H leader who has an understanding of the applicant s involvement in 4-H, school and community activities. Your responses to the following questions will provide valuable input. How long have you known the applicant? How have you been involved with, or how do you know the applicant? Describe the contributions the individual has made in the 4-H/Youth Development Program and the school or community in which he or she lives. Indicate the applicant s leadership qualities (both those currently exhibited and future potential).

9 Indicate other qualities, strengths or special talents that you believe the applicant has. Printed name of person submitting recommendation Address Phone Signature of person submitting recommendation Date Please return completed recommendation form on September 1 by 4:00 p.m. to: Somerset County 4-H Development Fund, Inc Glades Pike, Suite 101 Somerset, PA Updated 8/2018

Return this form to your County Extension Office by December 1, 2017.

Return this form to your County Extension Office by December 1, 2017. Martha and Don Romeo Scholarship 2018 Application must be typed. You will be submitting three (3) pages of information only! Page 1..Personal info. List them as shown, and in that order. Page 2..List your