4-H Shooting Sports Teen Ambassador
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1 New Jersey 4-H Shooting Sports Rutgers Cooperative Extension of Mercer County 930 Spruce Street Trenton, NJ H Shooting Sports Teen Ambassador Application Deadline: Saturday, Friday, April 29th Mail application to: Cooperative Extension of Mercer County Rutgers New Jersey Agricultural Experiment Station c/o Altaira Bejgrowicz, 4-H Program Associate 930 Spruce Street Trenton NJ As a New Jersey 4-H Shooting Sports member you have the opportunity to reach a new level of 4-H Leadership by applying for the NJ 4-H Teen Ambassador Program. Complete and mail to your state coordinator your completed packet. A completed packet includes the following: 1. Application Form (Page 3-5) 3. Essay Information (Page 5) 4. Certification Form (Page 6) 5. High School Transcript 6. Five by Seven (3X5) Glossy Photograph 7. Two (1) Letters of Reference: a) extension agent, b) shooting coach or instructor, c) school representative - principal, guidance counselor or teacher, and d) a person outside your family who knows you well.\ 8. Scoring Criteria 9. Interview Process must be present for a personal interview on Saturday, May 14, :00 p.m., County Complex 314 State Route 12, Flemington NJ 08822
2 Eligibility 4-H Shooting Sports Teen Ambassador Training The 4-H Shooting Sports Teen Ambassador Program affords teens the opportunity to demonstrate their skills in citizenship, leadership, community service and public speaking as they travel serving as advocates and spokespersons for 4-H Shooting Sports at a variety of events and activities. Teens must: Open to shooting sports participants grade 9-13 have a GPA of 2.5 or higher Be enrolled in 4-H and actively participating in a 4-H Shooting Sports Club for a minimum of 2 years. Be willing to attend the 4-H Shooting Sports Avisory Council meetings when invited. Must be present for an interview on Saturday, May 14, 2016 Interviews will begin at 2:00 p.m. and end at 4:00 p.m. Must be present at the Shooting Sports Banquet on May 14, 2016 Attend special programs and activities requested by the NJS4- HSSAC. Give talks about 4-H and Shooting Sports to outside organizations. Possibly move on to the National Level by attending the National 4-H Shooting Sports Ambassador Training (Information non-applicable at this time) Optional attendance at the National Champions (June) Grand Island NE
3 Application Form 4-H Shooting Sports Teen Ambassador Training Applications are due by: Friday April 29, 2016 Name: Address: City/State/Zip: Phone Number: Name of County: 4-H Shooting Sports Club: of Birth: Age: Male Female Name of School: Grade: Grade PointAverage (GPA): Month & Year of HS Graduation: Years in 4-H: Years in: Rifle: Archery: Hunting: Muzzleloading: Shotgun: Smallbore Rifle: 4-H Involvement Please list your club activities that you have participated in: Activity What did you do?
4 List your club leadership that you have participated in: Leadership What did you do? List community service projects that you participated in Project What did you do? List your 4-H Presentation History - indicate Club (c), County (co) and State (s): Year C/Co/S Topic Rating List any other public speaking or PR (include radio, newspaper, and any other activity that you spoke at.
5 Awards and Recognition List the awards or recognition that you have received through 4-H. What was your best accomplishment during your years in 4-H Shooting Sports? Write an essay entitled: Essay How has 4-H Shooting Sports made you a more responsible Person? Your essay should be no more than two pages, double spaced with margins no less than 1 inch, and a font size no less than 12 pt.
6 Certification Form I have reviewed the expectations (see page 2) of a NJ State 4-H Shooting Sports Teen Ambassador and I am willing to devote the time required. I will be active in my club and county 4-H program, as well as maintain an acceptable academic standard in school during my service as a State and/or National 4-H Shooting Sports Teen Ambassador. Further, I am willing to conduct myself in the highest standards expected of a Teen Ambassador. Applicant s Signature We (I) understand that our (my) son/daughter wishes to serve as a State and/or National 4-H Shooting Sports Teen Ambassador. We (I) will support him/her in fulfilling the responsibilities should he/she be selected. Parent/Guardian Signature Parent/Guardian Signature We certify that the above named 4-H er is enrolled, active and in good standing in our 4-H shooting sports club and county 4-H program. We support his/her application for the position of State and/or National 4-H Shooting Sports Teen Ambassador. 4-H Club Leader Signature Extension Agent Signature Office Use Only: State 4-H Shooting Sports Coordinator Application was received Scorecard Page Scorecard 5
7 Judging Criteria: Interview Essay 35 points 25 points 4-H Involvement 25points Appearance Appropriate dress Application Neat and legible 10 points 5 points Total 100 points Application and Interview Process Mail your completed application to Altaira Bejgrowicz, Mercer County 4-H Program Associate, 903 Spruce Street, Trenton NJ Your application will be evaluated by a panel of judges You will need to appear for an interview on Saturday, May 14 th, prior to the NJ 4- H Shooting Sports Banquet. The 2016 New Jersey 4-H Shooting Sports Ambassador will be recognized at the 4-H Banquet on May 14, 2016.
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