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1 SAN JUAN COUNTY 4---H YEAR---END CLUB/ FINANCIAL REPORT According to the April 2016 (previously April 2013) San Juan County 4/H Council By/Laws each club must submitan official club secretary book, including business meeting minutes and attendance, and a year/end club report in order to remain a club in good standing for the coming 4/ H year. This form will also be used to establish club award winners for the 4/ H Awards Banquet. DUE IN EXTENSION OFFICE --- OCTOBER 31, 2017 CLUB: YEAR: Club Organizational Leader(s): Naine Phone: Naine Phone: Total Number of Enrolled Members as of April 15th (Completed by Extension Office) Senior Members: J unior Members: Novice Members: -- Clover Bud Members: -- Total Number of Enrolled Adult Volunteer Leaders: (Completed by Extension Office) _ Adult Volunteer Leader Trainings Attended: ( Check all that apply) _ New 4-H Year Leader Training NM 4-H Leader's Forum _ Western Regional Leader's Forum _ 4-H Indoor Exhibit Training _ Other (please specify) 1. CURRENT YEAR 4-H CLUB SECRETARY'S BOOK: ( Date of Submission Recorded by Ext. Office ) Properly completed and turned in to the County Extension Office on: _ 2. CLUB MEMBER FEES AND EXTRA 4-H PRO TE CT FEES: (Recorded by Extension Office) Member Fees Paid On: H Pro j ect Fees Paid On: Revised September
2 3. CLUB BANK STATEMENTS: (Submitted/Recorded by Extension Office for IRS reporting) Monthly Bank Statements in Order: --- Yes --- No 4. CLUB TREASURER REPORTS: (Attach copies at end of report form) 5. ATTEND AN CE: Meetings held from October to September of Current 4-H Year Number of business meetings held (Minimum of 6 meetings REQUIRED per 4-H year) (Based on percentage of members in attendance) Month October November December January February March April May June July August September #-Members Enrolled #-Members Present Percent Attendance Average Attendance 6. 4-H PROMOTION: Give a brief description of activities and number of members participating. A. NATIONAL 4-H WEEK: #-of Participants B. 4-H TRACTOR SUPPLY PROMOTIONS: #-of Participants -- Fall Spring Revised September
3 C. OTHER 4-H PROMOTIONS: #- of Participants 7. 4-H COMMUNITY SERVICE: Event/ Activity Brief Description of Service / Who Benefited Date #-of Participants Revised September
4 8. SAN TU AN COUNTY 4-H CONTEST PARTICIPATION (including shooting sports ) : #. Enrolled in Club ---- Participant;, Name #- of Participants Con.t:est(s) Revised September
5 9. CLUB MEMBER DEMONSTRAeTIONS: List of members presenting demonstrations at club meetings. #- Enrolled in Club ---- #- of Participants Name of Participant Demonstration Topic Name of Participant Demonstration Topic 10. CLUB MEMBER PUBLIC SPEAKING: List of members presenting prepared/ impromptu speeches at club meetings and other venues. #- Enrolled in Club ---- Name of Participant Topic or Title of Speech Where Presented? I Revised September
6 H MEMBER RECORD BOOKS # Enrolled in Clube # of Members Submitting County 4-H Record Books (Tie breaker - total number of record books submitted to Extension Office) N rune of Member Nrune of Member Nrune of Member N rune of Member Revised September
7 12. COUNTY COUNCIL PARTICIPATION A. Number of members attending 4-H Club Officer Trainings November Training February Training _ e_ B. Number of members participating in club's County 4-H Carnival booth/game C. Number of members participating in County 4-H Day Camp D. Number of members attending 4-H Indoor Exhibit Training for County Fair E. Number of members and leaders attending Quarterly 4-H Council Meetings October January April July 13. SAN JUAN COUNTY FAIR EXHIBITS: Includes both livestock, small animal and indoor exhibitors, not the number of exhibits. Animals must have been shown through 4-H not FFA. Participant Name ( Check one or both entry areas) Indoor Exhibit Animal / Livestock Revised September
8 SAN JUAN COUNTY FAIR EXHIBITS (Continued): Includes both livestock, small animal and indoor exhibitors, not the number of xhibits. Animals must have been shown through 4-H not FF A. Participant Name ( Check one or both entry areas) Indoor Exhibit Animal / Livestock STATEMENT BY 4-H CLUB ORGANIZATIONAL LEADER This report accurately reflects this 4-H club's financial records as well as the member and leader participation in the above mentioned 4-H meetings, contests, events, and activities. 4-H Club Organizational Leader's Signature: Date:. New Mexico State University is an equal opportunity/ affirmative action employer and educator. NMSU and the U.S. Department of Agriculture cooperating. Revised September
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2775 Hwy 50 Grand Junction, CO 81503 Phone 244-1834 Fax 244-1700 www.tra4h.org Trent Hollister 4-H Extension Agent trent.hollister@mesacounty.us This newsletter includes: College Scholarships for Seniors
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