Ocean County 4-H 2016-2017 General Summary Form Due by September 1, 2017 Last Name: First Name: Grade Phone Number: Email: Are you an Ocean County 4-H Member in Good Standing? (Honors Handbook pg. 5) 1. I attended 70% of the meetings held by my primary club Name of Primary Club Name of Primary Club Leader Primary Club Leader s Signature 2. I gave a qualified public presentation Please list the highest level presentation given Date Presentation Topic Level (Circle one) Type (Circle one) Club County State Demonstration Illustrated Talk Formal Speech Performing Arts 3. I submitted at least 1 completed Project Record Books Project Record Book Completed (Example: Rabbit, Shooting Sports, etc.) 1
4. I completed a qualified community service project Date Location Club Description of Community Service Project Who benefitted from your community service project? 5. I participated in the Ocean County Fair Fair Participation Requirement (Determined by Primary Club Leader) How I met this requirement 6. I registered in a chartered club on the 4HOnline website by January 1st By signing below I confirm that all of the information I provided above is true and fairly represented to the best of my knowledge: Member Signature: Date: 2
Participation at 2016-2017 Ocean County 4-H Events (Optional) Please tell us what Ocean County 4-H events you attended and briefly what you did at the event! Did you bring an animal, food or an activity? Talked to the public? Helped organize the event? Learned something new or had fun? We even left blank rows for any other county level event where you represented Ocean County 4- H. (Back to School Night, parades, etc.) Need more space? Feel free to use another page to continue! Ocean County Event Ex: Banana Harvest Participation Organized monkey helpers, learned about bananas, picked bananas Pine Barrens Jamboree Petoberfest Annual Awards Ceremony Club Officer Meeting 4-H Winter Program Animalology Public Presentation Workshop County Presentation Event(s) 4-H Spring Break Camp Food Judging 4-H Summer Camps 3
Participation at the 2017 Ocean County Fair (Optional) Our favorite time of year! Briefly tell us what activities you participated in at this year s fair. Animals Please be general (If you brought 300 rabbits, please just use one row) Type Tent Shows/Activities Ex: Anteaters Livestock Anteater Costume Show, Showmanship, Round Robin General Tent Entry Division Award Ex: Piranha Mosaic 20-B G Other Activities/Shows (Ex: Fun Day, Corn Hole Tournament, etc.) Participation at 2016-2017 4-H State or National Events (Optional) Please tell us what 4-H events you attended in other counties in New Jersey, on the NJ State level, or on the National level. Examples: Monmouth County Fair, NJ 4-H State Goat Show, 4-H National Congress, etc. Event Date Location Participation 4
2016-2017 4-H Story **Required** The 4-H story is an opportunity for you to share your experiences in the 4-H program and summarize your years as a 4-H member. While your 4-H story is a record of all your years in 4-H, you should emphasize your experiences during the this 4-H Year. Use your General and Award Summary Forms to help you! Recommended Length First year members: 1 2 pages 2-3 years in 4-H: 1 3 pages 4+ years in 4-H: 2 4 pages We prefer a typed story, but feel free to use page 6 to hand write your story. Don t be intimidated by telling your 4-H story! This is not being graded and no one is checking your grammar or spelling. 4-H Story Guidelines Part 1 - About You! How old are you and when did you join 4-H? How did you learn about 4-H? Why did you join 4-H? Who are your family members? What are your interests and hobbies? What are your future/career plans? Part 2 4-H Projects and Activities What project areas did you work towards this year? (Describe your projects) What goals did you set and which ones did you reach? (Describe your successes) What would you do differently? (Describe any problems that arose and how you dealt with them) What new skills have you learned? Were any adults, club leaders or other 4-H members especially helpful to you? How so? Part 3 Leadership and Citizenship How has 4-H helped you become a better leader and citizen? How have you contributed to 4-H, your community, and your school? Describe the leadership roles you have held (club officer, event planning role, community service project planning role, etc.) Be specific! What have you learned about what it takes to be a leader? Part 4 4-H s Impact on You How has your 4-H participation changed how you feel about yourself? How has your 4-H participation influenced your school and career goals? What has being a 4-H member meant to you? What are your goals for next year, either in 4-H or in general? 5
The 2016-2017 4-H Story of Print Your Full Name 6