Due date is October 6!
Due date is October 6! Westchester County 4-H Annual Summary for Year _2016-2017_ Member’s Name___________________________________________________________________Grade________________________ Address___________________________________________________________________________________________________________ Age (as of January 1 of 2017)__________________________Years in 4-H (completed by 9/30/2017)____________ Number of meetings my club held________________ Number of club meetings I attended ________________________ 4-H Club_________________________________________________________________Leader_____________________________________
4-H Projects – List all the main projects (not activities) you worked on this year and check the box in front of those you completed. (4-H members are required to complete at least one project each year). For instance, project areas are Public Presentations or Dairy Goat. Activities are the Showcase, a tour of the Science Barge. ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Public Presentations for this year Title
Type (Illustrated talk, Demonstration, recitation, dramatic)
____________________________________________________ ________________________________________________________________ Presented at: Club level: Yes or No County level: Yes or no District level: yes or no Presented at another event: where and when___________________________________________________________________ 4-H Community Service Person or organization you served as a 4-H member
What you did
Time Spent
____________________________________________________ ______________________________________ __________________________ ____________________________________________________ ______________________________________ __________________________ ____________________________________________________ ______________________________________ __________________________ (over)
4-H Leadership Experiences Club office________________________________________ or Committee(s) – explain your role ______________________ _______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ Explain any other leadership role you had related to 4-H projects or activities._______________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ 4-H Public Relations – Explain ways in which you helped to recruit new 4-H members, or to publicize the 4-H program or specific 4-H events. _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Exhibits Where displayed
Item(s) exhibited (indicate award received if applicable)
__4-H Showcase__________ _________________________________________________________________________________________ _NYS Fair__________________ ________________________________________________________________________________________ _Yorktown Grange Fair__ _________________________________________________________________________________________ Other: ____________________ __________________________________________________________________________________________ Other 4-H Participation – List any other 4-H events or activities in which you participated that are not already included elsewhere in this annual summary (examples: 4-H Showcase, Skills Day, fund raising, educational trip, state events STARR, Animal Crackers, Career Explorations, State Fair, Dairy Discovery Days, Goat and Sheep Health). ______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Reflect: Underline below each of the individual life skills in each category you used or learned while in 4-H this year: Head: Keeping records, goal setting, planning, wise use of resources, problem solving, decision making. Heart: Cooperation, sharing, conflict resolution, communication, accepting differences, concern for others. Hands: Contribution to group effort, volunteering, responsible citizenship, teamwork, leadership. Health: self discipline, managing feelings, stress management, disease prevention, personal safety, healthy lifestyle choices. Signatures________________________________________________ _______________________________________________ __________ 4-H member 4-H parent Date
4-H Projects – List all the main projects (not activities) you worked on this year and check the box in front of those you completed. (4-H members are required to complete at least one project each year). For instance, project areas are Public Presentations or Dairy Goat. Activities are the Showcase, a tour of the Science Barge. ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Public Presentations for this year Title
Type (Illustrated talk, Demonstration, recitation, dramatic)
____________________________________________________ ________________________________________________________________ Presented at: Club level: Yes or No County level: Yes or no District level: yes or no Presented at another event: where and when___________________________________________________________________ 4-H Community Service Person or organization you served as a 4-H member
What you did
Time Spent
____________________________________________________ ______________________________________ __________________________ ____________________________________________________ ______________________________________ __________________________ ____________________________________________________ ______________________________________ __________________________ (over)
4-H Leadership Experiences Club office________________________________________ or Committee(s) – explain your role ______________________ _______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________ Explain any other leadership role you had related to 4-H projects or activities._______________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ 4-H Public Relations – Explain ways in which you helped to recruit new 4-H members, or to publicize the 4-H program or specific 4-H events. _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Exhibits Where displayed
Item(s) exhibited (indicate award received if applicable)
__4-H Showcase__________ _________________________________________________________________________________________ _NYS Fair__________________ ________________________________________________________________________________________ _Yorktown Grange Fair__ _________________________________________________________________________________________ Other: ____________________ __________________________________________________________________________________________ Other 4-H Participation – List any other 4-H events or activities in which you participated that are not already included elsewhere in this annual summary (examples: 4-H Showcase, Skills Day, fund raising, educational trip, state events STARR, Animal Crackers, Career Explorations, State Fair, Dairy Discovery Days, Goat and Sheep Health). ______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Reflect: Underline below each of the individual life skills in each category you used or learned while in 4-H this year: Head: Keeping records, goal setting, planning, wise use of resources, problem solving, decision making. Heart: Cooperation, sharing, conflict resolution, communication, accepting differences, concern for others. Hands: Contribution to group effort, volunteering, responsible citizenship, teamwork, leadership. Health: self discipline, managing feelings, stress management, disease prevention, personal safety, healthy lifestyle choices. Signatures________________________________________________ _______________________________________________ __________ 4-H member 4-H parent Date
