CHISAGO COUNTY 4-H Club of the Year AWARD: Winning recipient will receive a trophy, all nominations will receive a certificate with a seal of achievement (Gold, Silver, Bronze) DESCRIPTION: A recognition of outstanding involvement by 4-H Clubs to the 4-H program and accomplishments to their surrounding communities. Clubs will be evaluated on how their efforts this year have contributed towards their 4-H Club goals and the 4-H County wide goals and by their level of involvement in 4-H Club, County and Statewide events. Club Person Completing the Form: A. The following are the goals the Chisago County 4-H program has chosen to work on. Please report what your club did to help reach these goals. Remember each club should pick at least one of these goals to work on during the year. Please report on all of the goals even if it was not a priority or purposeful goal in your club this year. Goal #1: Emphasis on Cloverbud Opportunities (please list opportunities provided and impact) Results of Goal #1: Goal #2: Reaching out to unreached 4-H ers (please list initiative efforts to recruit new members from traditionally unreached areas) Results of Goal #2: 15 Regents of the University of Minnesota. All rights reserved. University of Minnesota Extension is an equal opportunity educator and employer. In accordance with the Americans with Disabilities Act, this material is available in alternative formats upon request. Direct requests to 612-624-2116. Printed on recycled and recyclable paper with at least 10 percent postconsumer waste material.
Goal #3: Make Community Service a Priority (please list hours of community service your club completed as well as opportunities and impact) Results of Goal #3: Goal #4: Increase our volunteer base to 100 volunteers (please list the number of new volunteers your 4-H Club recruited and impact of service) Results of Goal #3: B. List 2-3 goals your club had this year and tell how you did in meeting those goals. These are in addition to county goals. (Example: Plan, conduct and evaluate a Community Pride Project.) Goal #1: Results of Goal #1: Goal #2: Results of Goal #2:
Goal #3: Results of Goal #3: C. Have members/leaders/parents from your club take part in each of the following (Indicate number of participants): Exhibit at the county fair. Work in the 4-H cafeteria Demonstrations at the fair Provide refreshments when requested. D. Members/leaders/parents participate in at least three of the following events. (Indicate number of participants) Food and Bread Show. Style Show Robotics Run Wild 5K Rabbit Project Shooting Sports Fall/Winter Project Day PICCKM Camp Clothing Workshops/Camps Horse Encampment/Workshops 4-H Project Bowl. Other (list) E. Members/leaders/parents volunteer for at least two of the following. (Check those completed.) County, State, 4-H Committee. Fall Leaders Training Officer Training County Fair Judges Assistant. Teen Counselor/Adult Chaperone at a County, State or National 4-H Event. Assist with a County, State 4-H Training. Assist with a County, State 4-H Contest. Assist with a second 4-H Training/Contest. Other (list)
CHISAGO COUNTY 4-H Club Officer of the Year AM I ELIGIBLE? Any officer serving in a club officer role AWARD: Winning recipient will receive a trophy, all nominations will receive certificates DESCRIPTION: A recognition for outstanding service and leadership as a club officer. This person should have done outstanding work as a club officer. They should have attended most if not all of the meetings, kept excellent records, managed their duties well, etc. Nominee s Name Office held Club Please tell us why you think this person should receive the award. Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H Outstanding 1st Year Member AM I ELIGIBLE? Grades 3+ who have completed their first year in 4-H (Cloverbuds are ineligible due to the noncompetitive nature of the Cloverbud program) AWARD: Winning recipient will receive a trophy, all nominations will receive certificates Member being nominated Year Grade Club Why I feel this member should receive this award: Include such things as but not limited to: Club Activities (Examples: gave demonstration, committees, project meeting attendance, special events such as hay rides, sliding parties, served refreshments, etc) County Participation (Examples: Demonstration Food and Bread Show, County Fair, Project meetings, County Meetings, Worked in cafeteria or Malt Wagon, Fair Clean-up, Project Workshop Day, etc.) Community Service (Examples are highway clean-up, visiting nursing homes, etc.) Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H Extra Mile Award - Youth AM I ELIGIBLE? All enrolled 4-H members AWARD: Winning recipient will receive a plaque, all nominations will receive certificates DESCRIPTION: A recognition for outstanding service and leadership to the Chisago County 4-H Program. Work above and beyond the expectations of any 4-H member is to be recognized and recipients are nominated by other volunteers, parents, or members. Nominee s Name Club Please tell us why you think this person should receive the award. Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H 4-H Family of the Year AM I ELIGIBLE? Families in and outside of the 4-H community AWARD: Winning recipient will receive a plaque, all nominations will receive certificates DESCRIPTION: Presented to a family who has unselfishly contributed their talents, time, effort and positive support to the 4-h program. Family Name Please tell us why you think this family should receive the award. Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H Friend of 4-H AM I ELIGIBLE? Business, organization, individual or family not directly involved with 4-H AWARD: Winning recipient will receive a plaque DESCRIPTION: This award is presented to a business, organization, individual or couple who, although not directly involved with 4-H, has contributed a great deal to the program over the past year or years. Consider organizations who have donated to the 4-H program, those who have partnered with 4-H, etc. Qualifications: Can receive only once within 5 year span Not currently enrolled as a 4-H volunteer/member Must be nominated by a letter of recommendation explaining why the nominee is deserving of this recognition and why you feel they should receive it. Selection Process: Nomination due by the Awards deadline annually Awards Committee will read letters and select prior to the Awards Banquet Number of Friend of 4-H Awards given each year will be up to the discretion of the Awards Committee Name of nominee Please tell us why you think this person should receive the award. Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H I Dare You Award AM I ELIGIBLE? All enrolled 4-H members in grades 3+ (may win top trophy only once) AWARD: Winning recipient will receive the book I Dare You by William Dansworth, all eligible nominations will receive a certificate DESCRIPTION: Is given to youth who have dared to achieve their highest potential and have influenced others through lines of service. Nominee s Name Club Please tell us why you think this person should receive the award. Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H Junior Achiever Award AM I ELIGIBLE? All enrolled 4-H members in grade 3-7 (may win top trophy only once) AWARD: Winning recipient will receive a trophy, all eligible youth will receive certificates DESCRIPTION: To recognize 4-H members who have been active on both the club and county level Name Grade Number of years in 4-H Club Applicant must complete their own application. Basic Requirements (The following must be met during current year except where noted) Are in regular 4-H Not a Cloverbud Have completed no more than 7th grade Completed at least 2 years of 4-H Other Requirements If you meet at least 3 of the following items you will receive a certificate award. At least 2 must have been completed in the current year. Put the year completed by those you have fulfilled. Attended at least 2 county project training meetings. These meetings could be in different projects. Examples are Animal Science Night, Project Workshop Day, Horse Project Meetings, Robotics etc. Served on a 2 club/county committees, activity planning, etc. Committee Committee List your responsibilities:
Held a Club office. Office held Completed at least 3 different projects. Please list: Work towards having completed all records for the current 4-H year # of projects # of records completed
RECOGNIZING YOUR 4-H LEADERSHIP Minnesota 4-H Key Award You should be proud of your leadership and service through 4-H. 4-H is proud of you, too and wants to recognize your participation through the Minnesota 4-H Key Award. It recognizes your contributions to your club and the community, and encourages you to grow as an outstanding citizen. For young women, the gold key is mounted on an attractive necklace. For young men, it is on a tie tack. The key, along with a certificate, will be presented to you at a countywide event. To apply for the Key Award, go to the 4-H Key Award website: www.extension.umn.edu/youth/scholarships/key-award.html or contact your local Extension office: www.extension.umn.edu/offices Eligibility First, you must meet these basic requirements: Must have completed your sophomore year in high school. Be a 4-H member for at least five years. Have at least three years of active 4-H youth leadership, as defined below. Your leadership experience must meet seven of these nine requirements: 1. During the past three years, you must have attended at least nine meetings for youth and/or adult leaders and shared the information with your club. They can be county leader federation or council meetings, cluster or district youth leader meetings, demonstration workshops, etc. You cannot count a county fair, Share-the-Fun, or demonstration contest. 2. You must have been a leader in your local club in at least three of these four ways: a. Worked closely with at least two younger 4-H members. b. Led six or more 4-H-related activities such as club tours, picnics, or Share-the-Fun. c. Served as youth project leader in all or part of a 4-H project. d. Led a community service project on conservation of natural resources, selfprotection issues, etc. 11 Regents of the University of Minnesota. All rights reserved. University of Minnesota Extension is an equal opportunity educator and employer. In accordance with the Americans with Disabilities Act, this material is available in alternative formats upon request. Direct requests to the Extension Store at 800-876-8636. Printed on recycled and recyclable paper with at least 10 percent postconsumer waste material.
3. You must have held two club or county 4-H offices (president, vice president, secretary, treasurer, or reporter.) 4. You must have served on countywide committees or helped at countywide events at least six times during the past three years. 5. You must have completed work in at least three project areas other than youth leadership. 6. You must have entered exhibits in 4-H competition for at least four years, showing evidence of quality work by earning some blue ribbons. You must show evidence of exhibits in youth leadership. 7. You must have served as a county and/or state 4-H Ambassador for two years. 8. You must have participated for a total of two years in three special 4-H learning experiences, such as judging contests, Share-the-Fun, communications programs, 4-H camps, Leadership Conferences, Project Focus, or Community Pride. 9. You must have acquainted others with 4-H by giving talks to non-4-h groups, appearing on radio or TV programs, writing news articles, or recruiting new members or leaders. Good luck with your application, and thanks for your contributions to 4-H and the community! 11 Regents of the University of Minnesota. All rights reserved. University of Minnesota Extension is an equal opportunity educator and employer. In accordance with the Americans with Disabilities Act, this material is available in alternative formats upon request. Direct requests to the Extension Store at 800-876-8636. Printed on recycled and recyclable paper with at least 10 percent postconsumer waste material.
Minnesota 4-H Key Award Application Study this report form carefully before filling in the blanks. It should be written in ink or typed. Name Male Female (please print name as you wish it to appear on certificate) County Your current grade in school Number of years in 4-H Address street city state zip Date and year of birth Number of years in youth leadership Name of parent or guardian Name of your 4-H club Mark X in boxes below if requirements are met. I. BASIC REQUIREMENTS The following 3 items must be met. 1. Completed sophomore year in high school 2. Completed five years in 4-H. 3. Completed three years as a youth leader. II. OTHER REQUIREMENTS Must meet 7 of the following 9 items. All requirements under each item must be met. 1. Attended during the past three years at least nine training meetings for adult and/or youth leaders where you received ideas and information to take back to your club. These meetings could include county leader federation or council meetings; county cluster or district youth leader meetings; demonstration workshops; etc. DO NOT include events such as County Fair, Share-the-Fun, demonstration contests, etc. Year Kind of Meeting Training Received
2. Gave defined leadership assistance to your local club in at least three of the following ways. DO NOT include offices held. a. Worked closely with at least two younger members to help them become active 4-H ers. How did you help them? How did they show definite growth in their work? Explain. b. Gave leadership to at least six 4-H related activities such as helping to plan and conduct a club tour, skating party, yearly program planning, booth or banner, float or Share-the-Fun planning, 4-H promotional campaign, etc. Describe your leadership responsibilities for each. DO NOT include community service projects here. Club Activity Your Leadership Responsibility c. Served as a youth project leader in teaching part or all of some 4-H project. Describe project leadership work done. Number of project meetings held, etc. d. Help plan and conduct one or more community service projects related to Conservation of Natural Resources, Self-Protection Issues in Health and Safety, such as Alcohol Decisions program, environment, water quality, Community Pride and Service to Community programs, etc. Activity Your Leadership Role
3. Held two or more Club or county 4-H offices. (Includes president, vice-president, secretary, treasurer and reporter.) List 4-H offices held. Level Office Year 4. Served on committees or helped at events at least six times in the past three years. Committees and events must be countywide or larger in scope. For example, a member may have been on a county home economics committee, served as an assistant superintendent at the county fair, or served on the planning committee of a district or cluster youth leadership workshop during the past three years. Members employed by the Center for 4-H Youth Development to help at the state 4-H events may not include the work for which they were paid. List committees and/or events and give your responsibilities. Committee or Event Your Responsibility Committee or Event Your Responsibility Committee or Event Your Responsibility Committee or Event Your Responsibility Committee or Event Your Responsibility Committee or Event Your Responsibility 5. Complete project work in at least three different projects other than youth leadership. 6. Entered exhibits in 4-H competition at least FOUR DIFFERENT years. Must show evidence of quality work with some placings in the blue ribbon group, and must show evidence of exhibits in youth leadership. EXHIBITS: Year Project Placing
7. Participated two different years as a County and/or State 4-H Ambassador. County or State County or State 8. Participated two different years in three special 4-H learning experiences, such as judging contests, Share-the-Fun, communications program, 4-H camps, YELLO, District Retreats, Citizenship Washington Focus, Community Pride, demonstrations, etc. Learning Experience Learning Experience Learning Experience Learning Experience 9. Helped acquaint others with the 4-H program gave talks before non-4-h groups, appeared on radio or TV programs, write news articles, recruited new members and leaders, etc. (List two or more different things.) 1. 2. 3. 4. CERTIFICATION I have reviewed this application and believe it to be correct. 4-H Club Organizational Leader or Lead 4-H Youth Development Extension Educator 4-H Youth Leadership Project Leader The University of Minnesota Extension Service is committed to the policy that all persons shall have equal access to its programs, facilities and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status or sexual orientation. Updated November, 11
CHISAGO COUNTY 4-H Outstanding Volunteer AM I ELIGIBLE? All 4-H volunteers AWARD: Winning recipient will receive a plaque, all nominations will receive certificates DESCRIPTION: This award goes to a volunteer who has exhibited long-lasting dedication to the 4-H members of Chisago County. Nominee s Name Club Please tell us why you think this person should receive the award. Signature of person filling out form (Use back if needed)
CHISAGO COUNTY 4-H Participation Award AM I ELIGIBLE? All 4-H members grade 3+ AWARD: Certificate for eligible members with a seal for achievement at various levels: 15 items for a bronze, 16-25 for a silver and over 25 for a gold. Note: this award is cumulative year after year. Keep a copy of your application to add in future years DESCRIPTION: Recognition for participation in a variety of 4-H activities on the club, county, regional and state levels Name: Club: Grade: No. years in 4-H Filing instructions: Please date each item in the blank when you have accomplished it INDIVIDUAL LEARNING AND EXPERIENCES IN 4-H DATE HERE: Complete 4-H Records for at least one 4-H project Complete 4-H Records for at least half of your 4-H projects Complete 4-H records for all of your 4-H projects Exhibit at least one project at the County Fair Participate in experiences for your projects such as Horse Camp, Project Workshop Day Food and Breads Show, Fashion Revue, Robotics Team, Wildlife Retreat, etc Participate in events to develop communication skills such as Demonstration Day or do a demonstration in your club Attend a 4-H overnight experience: Summer Camp, B-BOP, Clothing Camp, etc. Help other 4-H ers learn about their projects in a leadership role Serve others in leadership roles Other: CLUB PARTICIPATION AND LEADERSHIP (An Independent member may work with another club or make arrangements with the Extension Office to achieve these requirements.) Attend at least one club meeting
Attend at least one club activity that is a community pride or service project Attend at least one club project meeting or other educational activity Help with a club fund-raiser Chair a club committee Serve as a club officer Ran for a club office 4-H Promotion: help with Window Display 4-H Promotion: Do an open house for 4-H promotion for your club 4-H Promotion: help club with other promotion effort Help at least one other 4-H er with records Demonstrate at your club Help with set up or clean-up at a major 4-H event Other club activities. Name Other club activities. Name COUNTY 4-H EXPERIENCES Serve on the 4-H Management Board Ran for 4-H Management Board Position Serve on at least one County Committee Chair a county Committee Serve as a 4-H Ambassador Serve as a Judges Assistant at County Fair Work at County Fair Clean-up Day Serve as a camp counselor at Summer Camp, Fair Dorm, Etc Volunteer time at the Extension Office (minimum 2 hours) Participate in the 4-H Open House Participate in the 4-H Spring Kickoff Participate in Fall Workshop Day Participate in Winter Workshop Day Participate in Animal Science Night Participate in another project training (Robotics, STEM, Rabbit, Horse) Participate in GREY
Participate in Run Wild 5K (as a runner or volunteer) Worked in the 4-H cafeteria Serve as a superintendent or co-superintendent at the fair. Assist at County or Regional Events such as Food Show, Snow Fest, Engineer It Day etc Help with a committee or project fundraiser Participate on a Project Bowl Team Participate on a Judging Team Other county activities. Name Other county activities. Name BEYOND THE COUNTY 4-H EXPERIENCES: REGIONAL, STATE, NATIONAL Participate in the State Fair Participate in the State 4-H Horse Show Participate in the State 4-H Dog Show Participate in the State Shoot Participate in the State Project Bowls Participate in a National Judging or Bowl Team contest Participate in the State Fair Arts In Participate in YELLO Participate in BLU Participate in other regional, state or national 4-H event. Name: Participate in other regional, state or national 4-H event. Name: Signed: Member Parent/Guardian Club Leader or Project Leader
CHISAGO COUNTY 4-H 4-H Record Judging AM I ELIGIBLE? All enrolled 4-H members grade 3+ (Cloverbuds may receive a Certificate for completion of records AWARD: Pin DESCRIPTION: To recognize outstanding achievements in a project area. Guidelines: All records must be judged at the Club level first unless you are an Independent Member. Nominate members only in project areas where they have done outstanding project work. Please nominate only one member per project by selecting your top record for that project Members may be nominated for more than one project area Only regular 4-H members are eligible for these awards: List all of the Cloverbuds that have completed records at the end of this form and they will all receive a certificate 4-H Club PROJECT MEMBER NOMINATED Animal Science Projects Beef Cat Dairy Dog Goat Horse Horse Training Horseless Horse Lama
Pets Poultry Rabbits Sheep Swine Judging Team General 4-H Projects Aerospace Bicycle Child and Family Development Citizenship Clothing - Purchased Clothing - Constructed Community Service Computer Consumer Education Crafts Crop Sciences Demonstration/Public Speaking Electric Engineering Design Entomology Exploring Animals Fashion Review Fishing Sports Flower Gardening Food and Nutrition Food Preservation Food Review
Forest Resources Fruit Geology Global Connections Health Home Environment Indoor Gardening Lawn and Landscape Design Needle Arts Performing Arts Photography Plant and Soil Science Potatoes Quilting Robotics Safety Shooting Sports Shop Small Engines Tractor Vegetable Gardening Veterinary Science Video Water/Wetlands Wildlife Biology Youth Leadership List Cloverbuds with completed records (do not turn in Cloverbuds records)
CHISAGO COUNTY 4-H Youth Achiever Award AM I ELIGIBLE? All enrolled 4-H members in grade 8+ (may win top trophy only once) AWARD: Winning recipient will receive a trophy, all eligible youth will receive certificates DESCRIPTION: To recognize 4-H members who have been active on both the club and county level Name Grade Number of years in 4-H Club Applicant must complete their own application. Basic Requirements (The following must be met during current year except where noted) Are in regular 4-H Not a Cloverbud Have completed at least 8 th grade Completed at least 2 years of 4-H Other Requirements If you meet at least 3 of the following items you will receive a certificate award. At least 2 must have been completed in the current year. Put the year completed by those you have fulfilled. Attended at least 2 county project training meetings. These meetings could be in different projects. Examples are Animal Science Night, Project Workshop Day, Horse Project Meetings, Robotics etc. Served on a 2 club/county committees, activity planning, etc. Committee Committee List your responsibilities:
Held a Club office. Office held Completed at least 3 different projects. Please list: Work towards having completed all records for the current 4-H year # of projects # of records completed