nomination form
nomination form available as PDF
Valley County 4-H Award of Excellence
2023 Application/Nomination Form
Due to Extension Office by October 2 (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 2022-2023 4-H year with this application/nomination form.
Date:
4-H Member Name:
Award Area:
Year in 4-H:
Year 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)