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.
4-H Member Name:
Year in 4-H:
Year in Project of Nomination:
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)