1 IMPERIAL COUNTY 4-H AWARD APPLICATION The 4-H Award Application County Level Judging. should be filled out by every member whose book is submitted to 1. Fill in and mark the award you are applying for. The appropriate box should be checked for the Achievement Award, the Agriculture Award, Leisure Art Award, Family and Consumer Science Award, or the Novice Award. You must also check the County Medal Program, if you want a project judged in the record book competition. 2. The Novice Award is only for 1st year members. 3. You may only apply for ONE Imperial County 4-H Award per year. (in addition to County Medal Program) 4. May be achieved once as a Junior Member and once as a Senior Member for all 4 awards. 5. There are four Junior winners and four Senior winners for the Achievement Award. 6. There is one Junior and one Senior winner for Agriculture, Leisure Art and Family and Consumer Science Award. 7. The application must be signed by a COMMUNITY leader. U'NIVERSITY OF CALIFORNIA.~ H CITIZENSHIP Youth LEADERSHIP DEVELOPMENT LIFE SKlLLS PROGRAM Revised 6-09 mwh
4-H MEMBER AWARD APPLICATION 2 READ: - Check awards you are trying for - Place inside your record book - Turn record book into your community leader by club date NAME: ---------------------------- CLUB: ------------------------- YEARS IN 4-H: AWARDS CHECK D 4-H Leaders Council Achievement Award (attached form) D 4-H Leaders Council Agriculture Award D 4-H Leaders Council Leisure Art Award (attached form) (attached form) D First Year Member Novice Award D County Medal Program - Must be in project or activity at least one year. - One Jr. county winner medal and three Jr. medalists can be awarded for each project listed on Page 2. (same for Senior) D4-H Leaders Council Family and Consumer Science Award (attached form) COUNTYMffiDALPROGRAM DYES DNO If I am selected a county winner in the second or third choice, I would prefer that award over a medalist in my 1st choice. 1. 2. 3. Club Book Awards o SECRETARY o HISTORIAN o SAFETY o COMMUNITY PRIDE o HEALTH 0 TREASURER o REPORTER o CONSERVATION OF NA TIJRAL RESOURCES Community Leader's Signature
3 PROJECTS DEMANDING STRONG PROJECT WORK IN A SPECIFIC PROJECT AREA ANGORA GOATS EMBRYOLOGY METAL WORKIWEWING AUTOMOTIVE ENERGY MANAGEMENT OCEANOGRAPHY AEROSPACE & ROCKETRY ENTOMOLOGY ORNAMENTAL HORTICULTURE BEEF CATTLE EXCHANGES, DOMESTIC & INTERNATIONAL PARENTING BEES EXOTIC BIRDS PETROLEUM POWER BEGINNING 4-H FARM MACHINERY PETS & SMALL ANIMALS BICYCLE FASHION REVUE PHOTOGRAPHY BREAD FEEDER CALF PYGMY GOATS CAMPING/OUTooOR ADVENTURE FIELD CROPS & MANAGEMENT OTHER PLANT SCIENCE CAREER EXPLORATION FOOD & NUTRITION OTHER RESOURCE SCIENCE CAGE BIRDS FOOD PRESERVATION POULTRY & GAME BIRDS CAVIES FORESTRY/CHRISTMAS TREES PUBLIC SPEAKING CHILD CARE & DEVELOPMENT FRUIT, NUTS & BERRIES RABBITS CITIZENSHIP GARDENING & HORTICULTURE SAFETY CLIMATOLOGY GENERAL ENGINEERING SCIENCE LITERACY CLOTHING & TEXTILES COMMODITY MARKETING GRAPHICS ARTS GROUP DETERMINED SELF DETERMINED SERVICE ANIMALS PROJECTS COMMUNICATION GUIDE DOGS SHEEP COMMUNITY PRIDE HEALTH & PHYSICAL FITNESS SHOOTING SPORTS COMPUTERS HOME ENVIRONMENT SMALL ENGINES CONSERVATION OF NATURAL RESOURCES HOME ARTS & FURNlSHING SOIL & WATER CONSERVATION CONSUMER EDUCATION HORSE & PONIES SUGAR BEETS CREATIVE ARTS & CRAFTS INDIVIDUAL & GROUP SPORTS SWINE CULTURAL ARTS INDOOR & MIN1 GARDENS THERAPEUTIC ANIMALS CATTLE INTERNATIONAL EDUCATION VEGETABLE GARDENS & CROPS FOODS LEATHERCRAFT VETERINARY SCIENCE GOATS LEADERSHIP WATERFOWL DOG CARE & TRAINING LIVESTOCK JUDGING WILDLIFE DOMESTIC EXCHANGES LLAMA WOOD SCIENCE. ECONOMICS & MARKETING MANAGEMENT HOME/PERSONAL WOODWORKING ELECTRICIELECTRONlCS MARINE BIOLOGY FOODS
4 IMPERIAL COUNTY 4-H ACHIEVEMENT AWARD FILL OUT THIS SHEET AND GIVE TO YOUR COMMUNITY LEADER WITH YOUR COMPLETED RECORD BOOK. Name: o Junior o Senior Club: ------- Age on Jan 1, current year Have you won this award before? If so, when? Year (Award can only be won once as a Junior and once as a Senior) Each year in club work (1 point per year) Total in a1l4-h Activities Jr/Teen Leadership (1 point per year) Star Rank (Bronze Star-I pt.;silver Star-2 pts.;gold Star-3 pts.; Emerald Star & Platinum Star-4pts.) Current Year's work only: Each project completed (5 points) Office held this current year (local club or Hi 4-H, 2 points) Each committee served on (1 point each, limit 10 points) Participation in judging at each 4-H Field Day, (2 points each) 80% attendance at club meetings (5 points) Projects exhibited at fair (2 points each project, not entry) 80% attendance at all project meetings (5 points total) Presentations given this year at Community Club, Area, County, Regional, State Field Day or Service Clubs (2 points each) Fashion Revue and showmanship contests (1 point each) (County fashion revues and showmanship at fairs, including California Mid-Winter, Los Angeles County, San Diego County Fair etc. DOES NOT include pre-fairs, jackpot shows, nor showmanship contest at the Carrot Carnival) Total Points (Members, the reverse side of this form must be completed and signed by your leader.) Member's Signature: Address: Leader's Signature:
5 FOR MEMBER TO FILL OUT List Office Held: List Committees Served On: List Projects Exhibited and at which Fair: List demonstrations given (should be organized demonstrations, not project reports or talks): TITLE WHERE GIVEN PWiU. ni. ' i"i..,ma -4-H C:Tilf!iSHtP.routh L~AO ~S"I;> IDEVELOPMENT L1Fr S-(Jil'I> PROGRAM
6 IMPERIAL COUNTY 4-H AWARDS FILL OUT THIS SHEET AND GIVE TO YOUR COMMUNITY LEADER WITH YOUR COMPLETED RECORD BOOK Name: Club: Age on Jan. 1, current year o Junior o Senior Fill out the following for: o Agriculture o Leisure Art D Family & Consumer Science Have you won this award before? If so, when? Year (Award can only be won once as a Junior and once as a Senior. (1) Senior and (1) Junior Award can be given each year) IMPERIAL COUNTY 4-H AWARDS DEMANDING STRONG WORK IN AT LEAST THREE PROJECT AREAS 'AGRICULTURE 'LEISURE ART 'FAMILY CONSUMER SCIENCE ANIMALS, ENTOMOLOGY, ELECTRICITY, VETERINARY SCIENCE, FARM MACHINERY, WOODWORKING, PLANT SCIENCE, POULTRY, BEES, SOIL & WATER CONSERVATION, WILDLIFE, MARINE BIOLOGY, ETC. MUSIC, DANCING, SCULPTING, PAINTING, WRITING, PUBLIC SPEAKlNG, COMPUTERS, PHOTOGRAPHY, CAMPING & OUTDOORS, HEALTH, GRAPIDC ARTS, ETC. CLOTHtNG & TEXTILES, FOOD & NUTRITION, FASIDON REVIlE, FOOD PRESERVATION, HOME FURNTSIDNG, CIDLD DEVELOPMENT CARE, CONSUMER EDUCATION, ARTS & CRAFrS, ETC. PROJECTS YOU ARE INCLUDING YEAR IN PROJECT Include a short paragraph describing involvement in each project. (Fair exhibits, demonstrations, projects completed) You may use a separate sheet of paper if necessary, Member's Signature: Address: ----------------------------------- Leader's Signature: