Age: ____________________ Yrs in Project: ____________
2016-2017 Citizenship Certificate/ Project Medal Criteria The following criteria must be met in order to be eligible for a Project Medal in Citizenship. Bring this completed form with you to your interview. Be sure you have checked () and filled in all sections below. If you are applying for a Citizenship Project Certificate you must turn in your Project Summary Book and a copy of this completed form to your leader. Be sure you have checked () and filled in all sections below.
Must bring to the interview: (1) an up-to-date “4-H Project Summary Booklet”; (2) this completed criteria form with listings to back up the requirements below.
Must be a currently enrolled 4-H member. Must participate in Project Interview at which time 4-H member presents and discusses their year in 4-H. Must have completed an approved Creative Communications event or activity in the project area in the current 4-H year. Here’s what I did:
Participated in a diversity of service activities (at least 3) during the 4-H Year. Here’s what I did: (1)
Hours
(2)
Hours
(3)
Hours
A time commitment of at least 25 Hours total for the year will be required. Only a maximum of 10 hours will be counted for each service project. Therefore the applicant will have to be involved in at least 3 different service activities Here’s what I did:
Here’s what I did Other highlights of my 4-H year that I want to talk about. Here is what I did: For Project Medal Review - Please circle: 4-Her is eligible for a Certificates. 4-Her is eligible for a Project Medal.