award nomination form available for download pdf format

Valley County 4-H Award of Excellence

2021 Application/Nomination Form

Due to Extension Office by October 4 (first Monday in October)

 A separate application is required for each area of nomination.

 Please include your 4-H Record book and Project book for the 2020-2021 4-H year with this application/nomination form.

Date

4-H Member Name:       

Award Area:                   

Year in 4-H:  

Y
ear in Project of Nomination:   

4-H Club:  

 

Please explain why you or this member deserves this Award of Excellence.  (You may include comments about leadership, community service, involvement in club/county activities, etc).  If project related, summarize how the project excelled above and beyond completion.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature: ______________________________________         Date: _________

                                        (person applying or nominating)