4-H Scholarship Cover Sheet

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1 4-H Scholarship Cover Sheet Name: Address: Cooperative Extension Service Owen County 265 Ellis Highway Owenton, KY (502) Fax: (502) Phone Number: Date of Birth: Name of School you plan to attend: Field of study you plan to pursue: Return by May 1 st to: Owen County 4-H Council 265 Ellis Highway Owenton, KY H Scholarship Application Requirements 1. Must have been a 4-H member for a minimum of six years. 2. Applicant must be a graduate of Owen County High School or live in Owen County and have been home schooled. 3. Application must meet the minimum requirement of 200 points. 4. Applicant must plan to carry at least twelve hours and be considered a full-time student. 5. Applicant must submit a complete record of grades as follows: a. Junior year grades and GPA and grades and GPA for three terms of the Senior year. Class standing. b. Grades must reflect a C average. 6. The scholarship shall be awarded to a freshman for one year. Recipient must submit a copy of letter of acceptance to the 4-H Council to receive $ scholarship. 7. Recipient shall be recognized at Owen County High School Awards Ceremony.

2 4-H Scholarship Form I. PARTICIPATION IN 4-H PROGRAMS, PROJECTS AND ACTIVITIES a. Length of Membership: You must be a current 4-H member and have been enrolled in 4-H for six years, including current year: Number of years in 4-H: x 2 points for each year = TOTAL SCORE b. Programs/Projects: List your 4-H projects by Membership year. (Score 2 points for each) Maximum score 30 points. Examples: 1995 Arts & Crafts, Sheep, Sewing 6 points 1996 Arts & Crafts, Horticulture, Woodworking 6 points 1997 Foods, Breads, Photography 6 points Year Projects 1

3 c. 4-H Communication Activities: Identify the project or subject title about which a demonstration/speech/resume was given corresponding with the year of presentation and the number of times presented on each level. Demonstrations and speeches reported here should have been presented to some organized group. Practice times should not be reported. Score 4 points for each time an activity was given at the county (C), area (A), or state (S) level. Maximum score 80 points. Example: 1996 Gifts in a Jar County 1, Area 1 (2 presentations x 4 points = 8) Year Presentation Title County Area State Total Points 2

4 d. List exhibits, including livestock shown at fairs, rally days, livestock shows, etc. State Fair exhibits may be counted in this area, NOT county fair exhibits. Score 4 points for each time an activity was given at the district (D) or state (S) level. (Maximum score 60 points) Example: sheep at Top of Kentucky District Show and Kentucky State Fair = 16 points 1997 Sewing and Woodworking at Kentucky State Fair = 8 points Year Exhibit Title District State Total Points 3

5 e. Participation in Other 4-H Events: Events that may be counted are conferences, judging teams, variety show, camp and exchange trips. Do not include contests such as communications day, recognition events, and other events listed elsewhere in this document. Score 5 points for each event. Maximum score 50 points. Examples: H camp 5 points 1996 Livestock Judging Team 5 points 2000 Senior Conference 5 points 2002 Youth Representative on 4-H Council 5 points Year Name of Event Place of Event Total Points II. 4-H LEADERSHIP AND CITIZENSHIP a. Leadership Training Training meetings attended. Score 4 points for each meeting. Examples: 2001 Junior Camp Training 4 points Officer Training 4 points Year Description of Training Points 4

6 b. Leadership: Name of group (s) such as foods project group or sewing club where you have served as a leader or co-leader with another 4-Her/leader. List project lessons or club meetings in which you displayed teaching, organizational, and leadership skills. Do not include serving as an officer or committee member. Score 2 points per meeting. Maximum score 20 points. Examples: 1999 Day Camp workshop leader = 2 points 2002 Food, Fun, Friends, club leader, 6 meetings = 12 pts 2003 School Club leader, 2 meetings = 4 points Year Group/Activity Role you played Points 5

7 c. Assisted with local 4-H Events other than 4-H meetings. List the event and your responsibility. Different responsibilities at the same event may be reported only once. Score 2 points for each event. Maximum score 20 points. Examples: 2000 County Fair concession stand 2 points 2001 Demonstration Contest, judged 2 points 2002 Owen Co. Extension Day, helped with crafts 2 pts Year Event Responsibility Total Points III. LEADERSHIP DEVELOPMENT On a separate sheet, describe your most rewarding leadership experience as a 4- H member. Tell what you did and how your work affected others. Limit it to a one page, double spaced, typed sheet. 6

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