Putnam County 4-H Project, Event, or Activity Record Club Year: _________ Name: ___________________________________________________________ Age:__________ Name of Project/ Event/ Activity:____________________________________________________ Years of project, or activity:____________ to:_____________ /
Ongoing
Before you start:
What is your project, event, or activity, and why are you doing this project? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________
What 4-H value will your project, event, or activity involve (ex: Head, Heart, Hands, and Health)? __________________________ ____________________________________________________________________________________________
How will your project, event, or activity positively impact your club, community, country, or world? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________
What do you hope to learn and/ or achieve? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________
After your project, event, or activity:
In your opinion was your project, event, or activity a success? Why or why not? ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________
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What are the most important skills, or lessons you learned and how will they help you in the future?
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Please attach any photographs, drawings, news articles or other items, if you have received any that may give us more information on your project, event, or activity.
Member Signature: _______________________________________________________
Date: _____________
Leader Signature: ______________________________________________________
Date: ____________
*This form may be mailed to: Cornell Cooperative Extension/4-H * Terravest Corp. Park * 1 Geneva Rd * Brewster, NY 10509 or Faxed to: 278-6761 FOR OFFICE USE ONLY: Date Rec’d by 4-H Office: __________ (Revised 6/17) Cornell Cooperative Extension is an employer and educator recognized for valuing AA/EEO, Protected Veterans, and Individuals with Disabilities and provides equal program and employment opportunities.