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Dear 4-H Member, We are excited about your desire to become a member of a State 4-H Leadership Board. This State 4-H Youth Board application is the beginning opportunity providing leadership, advocacy and youth voice. As part of the State 4-H Youth Development program you will gain new or enhanced leadership skills, new friends and connections that will last a lifetime. While the Executive Board and Shootings Sports Ambassadors have different applications, this application packet is for the Citizenship, Fashion, Food and Fitness, the Performing Arts Troupe, and the SET (Science, Engineering and Technology) Boards. As you prepare your application, here are a few reminders and tips to help you be successful. It s important that you work with your Parish 4-H Agent regarding the application and submission process and deadline. Application must be signed by your Parish 4-H Agent. There are two separate parts to this application: General and Board Specific. Read carefully through the board information. Check your calendar against required attendance dates for board activities. Make sure that you can attend the meetings before making a commitment. Read the questions and respond appropriately. Align experiences and topics with the focus of the board for which you are applying. Check spelling and grammar prior to submission. As you identify individuals to write your letters of recommendation, you will want to select individuals other than family members and 4-H Agents. Examples but not limited to leader, employer, teacher, advisor, clergy, etc. Be respectful and allow time for these individuals to write and submit the letter of recommendation. Communication will be done primarily through e-mail so it s important to check email often. You are responsible for providing your own transportation to board activities. Be aware that there are nominal fees associated with membership. These fees may include but are not limited to membership dues, camp fees, and meeting fees. Camp counselor training is required. Practice your interview skills We are so glad you are taking the time and effort to apply for a State 4-H Leadership Board, and whether you are selected or not, you are already a winner for going through this process. This experience is helpful both now and later in life when applying for scholarships and jobs. Good luck with your quest to serve on a State 4-H Leadership Board. Any adult volunteers and agents interested in serving in a volunteer capacity on the board will need to check with the corresponding board advisors for additional details. GOOD LUCK!! The LSU AgCenter is a statewide campus of the LSU System and provides equal opportunities in programs and employment. Louisiana State University is an equal opportunity/access university.

LOUISIANA STATE 4-H BOARD INFORMATION Youth Application for Citizenship, Food and Fitness, SET, Performing Arts and Fashion Boards Deadline: May 11 th State 4-H Leadership Board: 4-H members will serve on the Leadership Board for a one year period. They will promote the Louisiana 4-H Leadership Board Program and serve as its advisory group. The State 4-H Leadership Board Coordinator and selected 4-H agents will serve as advisors to the specific Board. Objective: The objective of the State 4-H Leadership Program is to assist with the development of educational programs that provide opportunities for advocacy, leadership, and youth voice. Eligibility for Participation: The applicant must be currently enrolled in 4-H and classified in the 9 th - 12 th grade the year they serve. (Please see board supplemental sheet for board specific requirements) Membership, Tenure and Selection: Tenure is one year. Board Members may serve unlimited terms, but must reapply each year. May have up to 25 members (discretion of the advisors). Alternates (depending on the number of applicants) may be selected. Each parish may nominate up to three members (per board). Selection will be from written application and interview. The application will be reviewed by a committee. Written applications are due prior to May 11 th by 4:30 p.m. Deliver to the State 4-H Office. Members may not serve on more than one board. If applying for more than one board, please indicate/rank on the application. This ranking will dictate which board you will serve on if you are accepted to multiple boards. Members will be required to: Attend regular board meetings to include but not limited to Summer and Winter State 4-H Leadership Board meetings. Attend, help plan, and conduct board events as specified by each board. Serve as state liaison in the region and parish they represent. Acquire certification as camp counselor prior to working with youth as a State 4-H Leadership Board Member. Check email for board announcements and updates. Correspond promptly with advisors and officers. Provide their own transportation and all or some funds for meetings and other scheduled events. Members will be required to inform parish agents on board member's proposed plans relative to the board. Criteria for Evaluation Application & Experiences 25% Essay 25% Interview and Recommendations 50% Application Process: Submit complete application by May 11 th 4:30pm 4-H members submit application form, essay, and 3 recommendation letters. NOTE: If you are applying for multiple boards you must rank by preference at the top of the application. A separate application must be submitted for each board for which you are applying. State 4-H Leadership Board Applications 169 Knapp Hall 110 LSU Union Square Baton Rouge, LA 70803-0106 FAX: 225-578-7847 Phone: 225-578-2196 Email: EHicks@agcenter.lsu.edu Please submit to be received prior to 4:30 p.m. on May 11 th to the address above or fax to: 225-578-7847. Revised February 2015

LOUISIANA STATE 4-H LEADERSHIP BOARD STATE APPLICATION (Print or type) Please select and rank your preference if applying for multiple boards. This ranking will dictate which board you will serve on if you are accepted to multiple boards. Citizenship Board Fashion Board Food & Fitness Board Executive Board Science, Engineering &Technology (SET) Board Performing Arts Troup This application should not be used for youth applying for the Executive Board, BUT you must include in your ranking. This application is for: Citizenship Fashion Food & Fitness Performing Arts SET Name Parish Address City Zip code Age (as of Jan. 1) / Age Date of Birth Cell Phone ( ) E-mail address (personal) (Check for upcoming fall) Freshman Sophomore Junior Senior 4-H Agent Phone # Parent(s) Name Address Home Phone: ( ) Cell: ( ) Are you attending 4-H University? Yes No T-Shirt Size: Polo Size: Please attach a photo to your application. APPLICATION CHECKLIST Completed application form. If applying for more than one board, submit separate applications for each board. Essay (Question IV) Three recommendation letters If necessary, board supplemental sheet Photo attached. Return completed application, essay and recommendation letters (3) to the state 4-H office by May 11, 2015. Revised February 2015

This application is for: Citizenship Fashion Food & Fitness Performing Arts SET When answering the following questions, please list examples related to the board to which you are applying. If applying for more than 1 board, answer the following questions separately for each board application. I. List examples of your experiences and related projects (in 4-H, school, and community). Do not list winnings. II. Summarize your experiences, activities, and recognition awards received in other 4-H projects, school activities, and/or organizations. Do not list winnings. Revised February 2015

This application is for: Citizenship Fashion Food & Fitness Performing Arts SET III. How have 4-H leadership opportunities contributed to the person you are today. Give your personal story. IV. Respond to this statement on a separate sheet of paper and attach the essay to the application. Response should not exceed one page double spaced. I would like to be a Louisiana State 4-H Board Member Include in your own words: a. what you would like to do as a member b. how you would go about doing it c. what you can contribute to the State Board and how it would help 4-H and you personally. Do not give objectives straight from information sheet. V. Copies of (3) recommendation letters must accompany each application. These letters must be from individuals other than family members and your 4-H Agent(s). Examples of accepted individuals (but not limited to): leader, employer, teacher, advisor from another youth organization, clergy, etc. The letter should be signed. I understand the responsibilities and I m committed to representing the LSU AgCenter, 4-H, my school and community to the very best of my ability. Applicant Signature: Date: Parent Signature: Date: 4-H Agent Signature: Date: Revised February 2015

4 H Citizenship Board Supplemental Sheet Additional information for those applying for the State 4 H Citizenship Board: Objectives: To assist with the development of educational programs that provide opportunities for exploring citizenship and cultural awareness on local, state and national levels; developing and increasing leadership, social, emotional, and character skills; and building a sense of civic engagement. Application Process: 1. Complete and submit application prior to the deadline stating interest in the 4 H Citizenship Board. 2. Participate in an interview on one of the dates listed below. Two interview dates for 4 H members are scheduled to provide an optional date for individuals who are unable to attend 4 H U. Monday, June 15, 2015 from 1:00p.m. 3:00p.m., Telephone Interview (NOT ATTENDING 4 HU ONLY) Tuesday, June 23, 2015 of 4 H U, Lockett Hall, from 1:00 p.m. 3:30 p.m. Applicants will receive a detailed schedule, and will be notified of any changes in location and time, if necessary. 3. Register your interview date choice by emailing Kimberly Jones at kyjones@agcenter.lsu.edu or calling at 225 578 2196 by May 18, 2015. Members will be required to: Attend summer (July), fall (Sept./Oct.) and winter (January) State 4 H Youth Board meetings. Help plan, conduct, and/or attend Service Learning projects. Help plan, conduct, and attend educational experiences identified by the board. Serve as state liaison in the region and parish represented. Acquire certification as camp counselor prior to working with youth. Advocate for the State 4 H Service Focus Evaluate experience as a State 4 H Citizenship Board member Pay a $40 membership fee (Scholarships may be available based on financial need) Members may be asked to: Meet in the summer, on a weekend, or on a holiday to work on a project, or creative or technical training. Plan and participate in JLC (Junior Leadership Conference) activities. Refine self improvement and presentation skills. Organize and implement regional activities and/or provide leadership for area training, challenge camp, and programs. Annual Agenda Most of the Citizenship Board activities will be conducted during four meetings, as well as by e mail and/or telephone. 4 H ers will need to be responsible, dependable, and dedicated to their role as Citizenship Board members. Applicants need to check their calendar before applying to be sure she/he can attend the scheduled functions. These dates may be changed due to circumstances beyond control. Other activities may be scheduled during the year, but those listed below are definite. If the July summer board meeting is not attended, member will be put on probation and must attend the next required function or will be replaced by an alternate. July22 24, 2015 Summer Board Meeting (Baton Rouge area) September/October 2015 Fall Board Meeting/Trip December 2015(tentative) LA Connections Camp, Camp Grant Walker January 8 9, 2016 Winter Board Meeting, Camp Grant Walker May/June 2016 4 H Day at the Capitol June 21 24, 2016 4 H University, LSU Questions about the 4 H Citizenship Board? Contact Kimberly Jones kyjones@agcenter.lsu.edu or 225 578 2196. Revised February 2015

4 H Food and Fitness Board Supplemental Sheet Additional information for those applying for the State Food and Fitness Board: 4 H members will serve on the Food and Fitness Board promoting the Louisiana Healthy Living Program and serving as its advisory group. The State 4 H Healthy Living Mandate Coordinator(s) and assigned agents will serve as advisors to the Food and Fitness Board. Objectives: Members will: 1. Work with board advisors and/or Nutrition and Fitness Specialist to plan and implement healthy living related programs that provide for life skill development related to food, nutrition, fitness, and overall health (including food prep, food safety, basic nutrition, healthy choices, physical activity, etc.). In addition, opportunities for the development of decision making, communication, planning and organization, problemsolving, leadership and service will be promoted. 2. Gain skills necessary to make and teach healthy food choices in a variety of settings; mastery of skills which lead to a healthy lifestyle. 3. Gain knowledge about the sciences of food/nutrition, exercise/fitness, and understand the scientific methods used in research. 4. Explore careers in dietetics and nutrition, food science, fitness/kinesiology, and other health related fields. 5. Membership, Tenure, and Selection: Members will be required to attend 4 H U and participate in the interview process (the interviews take place on Tuesday afternoon of 4 H U as scheduled.), summer board meeting, fall board meeting, winter board meeting, and a state level board outreach such as 4 H Food and Fitness camp. To remain in good standing as a board member, attendance is required at these meetings and/or events. Absence from any of the above mentioned meetings will be reviewed and membership status will be determined by advisor and parish 4 H agent of member. See application for additional criteria. Members may be asked to: Plan and conduct a training session at JLC (Junior Leadership Conference), 4 H U and other state/district 4 H events Implement a parish level Food and Fitness Board, if possible Develop an educational program focusing on healthy lifestyles for Louisiana 4 H Plan and implement community service learning projects as requested Participate in other 4 H events such as the Governor s Mansion dinner and the LSU football game. Participate in parish or regional educational nutrition related activities (ex. cookery contests) Participate in local advisory groups as a representative of a state board Annual Agenda: Most of the Food and Fitness Board activities will be conducted during the Summer, Fall, and Winter board meetings, as well as by e mail and/or telephone. 4 H ers will need to be responsible, dependable, and dedicated to their role as Food and Fitness board members. They must provide their own transportation and all or some funds for meetings and other scheduled events. The applicant should check their personal calendar before applying to be sure that he/she can attend all the required scheduled Food and Fitness Board functions. Anticipated dates/functions are below: 6/23/15 Interviews at 4 HU 7/14 16/15 Summer Board Meeting & Educational Trip (Approximate cost $100.00), Natchitoches area 11/23 24/15 Fall Board Meeting (Approximate Cost $25 $35) 1/8 9/16 Winter Board Meeting (Camp Grant Walker) 3/18 20/16 Family Fitness Camp, (Camp Grant Walker) (Approximate Cost $25 35) *Tentative camp dates are not confirmed. Direct questions about the 4 H Food and Fitness Board to Lanette Hebert LGHebert@agcenter.lsu.edu.

Louisiana State 4-H Leadership Program Submit prior to May deadline Fashion Board Member Youth and Adult Volunteer Application information: Textile and Apparel Program Objectives: To assist with the development of educational programs that provide opportunities to explore careers in fashion: textile science, apparel design, merchandising and related industries; develop leadership abilities and character; build self-confidence and poise by improving ability to make wise consumer purchases and financial decisions regarding apparel; recognize quality and predict performance of textile and apparel products; expand and share textile and apparel knowledge, including technical and creative skills; and improve public speaking and presentation skills. Both youth and adult members serve as the advisory committee. Application Process: 1. Complete and submit application stating interest in the 4-H Fashion Board. Submit completed application packet with appropriate signatures to state office prior to deadline. 2. Participate in an interview on one of the dates listed below. Two interview dates for 4-H members and adult volunteers are scheduled to provide optional dates for your convenience. Monday, June 15 th, 2015 at 1:00 p.m., Nelson Memorial Building, LSU Baton Rouge campus; or Tuesday, June 23, 2015 from 1:00 p.m. 2:30 p.m. location TBA 3. Register interview date choice with the 4-H State Office stating on which date you will interview by emailing Tanya Giroir at tagiroir@agcenter.lsu.edu or fax choice to Tanya at 225-578-7847. Members will be required to: Participate in the 4-H U Fashion Revue, one of the four categories of your choice NEW Participate in July Summer Board Meeting, LSU Baton Rouge Participate in January Winter Board Meeting, Camp Grant Walker Plan, present and conduct workshops at January Fashion Camp, 4-H Camp Grant Walker Participate in the June 4-H U Fashion Revue Planning meeting, LSU Baton Rouge Attend, help plan, and conduct workshop at Fashion Revue at 4-H University Serve as state liaison in the region and parish you represent Acquire certification as camp counselor prior to working with youth as a Fashion Board Member Evaluate and report experience as a State 4-H Fashion Board Member and/or complete an exit interview. Submit to Tanya Giroir at state office Keep an up-to-date email address and read and respond to all communications Members may be asked to: Organize and implement regional and parish activities and/or provide leadership for area training, challenge camp, programs, fashion shows, etc. Annual Agenda: Most of the required Fashion Board activities will be planned during two board meetings and by email resulting in two statewide events. 4-H ers will need to be responsible, dependable, and dedicated to their role as State 4-H Fashion Board members. They must provide their own transportation and all or some funds for meetings and scheduled events in which you are invited to participate. Check calendar before applying to be sure you can attend all of the required scheduled functions. These dates may be changed due to circumstances beyond control. Other activities may be planned during the year, but those listed below are annual events. If a required event is not attended, member will be placed on probation and must attend the next required function or will be replaced by an alternate. July 14-15, 2015 Summer Board Meeting, TBA - Election of Officers Jan. 8-9, 2016 Winter Board Meeting, Camp Grant Walker Jan. 22-23- 24, 2016 State Fashion Camp, Camp Grant Walker June 12-13, 2016 Fashion Revue Planning Day, LSU, BR June 21 24, 2016 4-H University Fashion Revue, LSU, BR July 15-17, 2016 Fashion Board Educational Field Study - Optional Adult volunteers interested in becoming State 4-H Fashion Board Leaders please note information and dates above and email Tanya Giroir tagiroir@agcenter.lsu.edu. Adult volunteer leaders must submit application, interview, and be overnight chaperone trained and screened. Direct questions about 4-H Fashion Board to Tanya Giroir @ tagiroir@agcenter.lsu.edu. Revised January 2015

4 H Performing Arts Board or Troupe Supplemental Sheet Additional information for those applying for the State Performing Arts Board Objectives: Market 4 H through performing Develop leadership and communication skills Develop mastery in the area of performing arts Application Process: 1. Complete the application stating interest in the 4 H Performing Arts Board and submit to your parish 4 H Agent for signature. Submit complete application packet to state office prior to deadline. 2. Prepare and send in a CD with what you plan to perform during the audition. Label CD with your name and parish. 3. Participate in an audition on the Tuesday afternoon at 4 H University. Once applications are reviewed you will be given a specific time for your audition. You can check with your agent to find out the time of your audition. 4. You must bring your music and/or instrument. Piano or keyboard will be provided if you are auditioning on the piano. 5. You need only to prepare for a 2 minute audition. 6. Be prepared to answer questions about your craft and yourself during the audition, but, after your performance. Members will be required to: Participate in both summer and Winter Performance Meetings. July 2015 and January 2016 Help plan or conduct Talent Show at 4 H U. Be prepared to brainstorm performance ideas at the first meeting. Practice on your own with guidance from a CD that will be provided To know material that we will be performing by practicing Be a team player and take direction Keep an up to date email address and read and respond to all communications. Member may be asked to: Perform at the 4 H Night at the LSU Tailgate Party, 4 H Day at the Capitol, Governors Dinner, Hall of Fame, SRTLC or at other events. Annual Agenda: 4 H ers will need to be responsible, dependable, and dedicated to their role on the board. They must provide their own transportation and all or some funds for meetings and scheduled events in which you are invited to participate. Check calendar before applying to be sure you can attend all of the required scheduled functions. These dates may be changed due to circumstances beyond our control. Other activities may be planned during the year, but those listed below are annual events. If a required event is not attended, member will be placed on probation and must attend the next required function or will be replaced by an alternate. Adult Volunteers interested in becoming State Performing Board Leaders please request an application from Tina Goebel at tgoebel@agcenter.lsu.edu. Direct all questions about the Performing Arts Board to Tina Goebel at tgoebel@agcenter.lsu.edu

Additional information for those applying for the State 4 H SET Board: NEW THIS YEAR: Each application must be accompanied by a video lasting no more than three minutes introducing the applicant to the selection committee and highlighting their interests in Science, Engineering, and/or Technology. Video will be used to get a sense of applicant s personality, their ability to present themselves, and what the applicant hopes to contribute to the board. Video does not need to be of professional quality; effort should be placed on creativity not technicality. Submission Instructions: o This video can be uploaded as UNLISTED on YouTube and shared with the selection committee by emailing the link to awmullens@agcenter.lsu.edu by May 11, 2015. o This video can be uploaded to dropbox and shared with the selection committee by emailing the link to awmullens@agcenter.lsu.edu by May 11, 2015. o All emails should be titled: 2015 2016 SET Board Video Submission Two interview dates for 4 H members are scheduled to provide an optional date for individuals who may have a conflict with 4 H U. Only those NOT attending 4 H U will be eligible for the interviews on June 8 th. Please send an email to awmullens@agcenter.lsu.edu if you have a conflict and will not be attending 4 H U. Monday, June 8, 2015 from 1:00 p.m. 3:00 p.m. (phone interviews) Tuesday, June 23, 2015 of 4 H U from 1:00 p.m. 3:00 p.m., location TBD. Members will be required to: Submit acceptance of position, read entire member packet, and pay $35 membership dues. Attend both summer (July 22 24, 2015, Baton Rouge, LA) and winter (January 8 9, 2016, Camp Grant Walker) State 4 H Youth Board meetings. o Applicants who cannot attend summer board meeting will not be considered. Attend and lead tracks at Operation Military Kids SET Camp (October 2 4, 2015). Attend, help plan, and conduct a service learning projects at every board meeting. Serve as state liaison in the region and parish they represent. Plan, conduct and report on a parish SET related project no later than March 2016. Acquire certification as camp counselor prior to working with youth. Communicate regularly through email, Facebook and/or online website. Provide their own transportation to board events, when necessary. Be an active member of their parish 4 H club. Members may be asked to: Meet in the fall (on a weekend or holiday) for a board meeting. Organize and implement regional activities and/or provide leadership for area training, challenge camp, and other programs. Plan and participate in JLC (Junior Leadership Conference) activities. Plan and implement a fundraising booth at the 4 H Night with the Tigers LSU Football Game (Date TBD). Most of the SET Board activities will be conducted during two meetings, as well as by e mail and/or telephone. 4 H ers will need to be responsible, dependable, and dedicated to their role as SET Board members. Applicants need to check their calendar before applying to be sure she/he can attend all of the scheduled functions. Dates may be changed due to circumstances beyond control. Other activities may be planned during the year, but those listed below are definite. If a required event is not attended, member will be put on probation and must attend the next required function or will be replaced by an alternate. July 22 24, 2015 October 2 4, 2015 October/November January 8 9, 2016 SET Summer Board Meeting (required) Baton Rouge, LA OMK SET Camp (required) Pollock, LA @ CGW SET Fall Meeting (optional) SET Winter Board Meeting (required) Pollock, LA @ CGW Questions? Contact Ashley Mullens at awmullens@agcenter.lsu.edu or 225 578 2196.