Madison County 4-H Portfolio Due November 15, 2017
Madison County 4-H Portfolio Due November 15, 2017 Grades 7 and Up 4-H Grows Here
Madison County 4-H www.madisoncountycce.org
Cornell Cooperative Extension of Madison County
Page 2
Awards and Recognition Portfolio This booklet is designed to help organize your accomplishments - this is your time to shine. Please include everything you have done in 4-H and your community. It is recommended to include pictures of you doing project work and other things you are proud of. Don’t be shy ask your parents and/or leader to help you. Don’t forget to include a recommendation from your leader, other adult or parent. Plan to attend the Awards and Recognition Banquet in January. 1. The new 4-H Portfolio includes the trip application form and explanation. Be sure to use the form dated revised October 2016. and remember - if you want to try for a trip you MUST fill out the page 11. 2. Answer each question in the 4-H portfolio and tell your 4-H story. You might find your 4-H scrapbook helpful. If you don’t have a scrapbook ask your parents and leader to help you remember and make a mental note to start a scrapbook. a. Page 4 must be filled out completely. b. 4-H project summary tells the reviewer what you did. Brag a little - it’s ok. c. 4-H activities & trip section is where you tell about all the fun things you have done in 4-H, include as many as you can think of. d. 4-H presentations and communication section tells the story of your presentation career. Remember to include club and county presentations. Also any other opportunities that you had to speak in front of people as a result of being a 4-H member. e. 4-H leadership section is an opportunity for you to share the ways in which you used your leadership skills. Trade Show f. 4-H community service section tells the committee the story of how you con tribute to the community. What has your 4-H club done? What have done on your own?
Cornell Cooperative Extension of Madison County
Page 3
g.
Home, school and community section is another opportunity to brag to the committee on what you have learned in 4-H and how you have applied it in your community. What have you done at school, church or other community organizations? h. What 4-H means to me section is the most important or memorable thing you have done in 4-H this year. i. Award trip section is an opportunity to apply for a trip of your interest. If you are not interested in a trip - write that on page 11. 3. Thank goodness—you’re done. Make sure your portfolio is neat and readable. Now that you did all this work you want people to be able to read it. Many of your experiences may overlap within sections, that’s ok. How did you feel after an event or when you completed a project? Tell us about how it feels in each of the sections. 4. Be sure to turn your completed portfolio in by November 1. The committee needs time to review your work. This portfolio should reflect you and your experiences. Each year of your 4-H portfolio should be separate. This portfolio is an ongoing record of your 4-H experiences and accomplishments. Sam Filler, Development 5. Congratulations - great job!Empire AfterState you receive your portfolio back remember to keep it in a safe place for next year. We recommend you use a three ring binder and include pictures. It is better if you turn your portfolio in person but if you can’t call us for special directions for filing electronically. Please call the 4-H office if you need help and we will be happy to assist you. Chelsea Jones & Jessica Spaulding Cornell Cooperative Extension of Madison County P.O. Box 1209
Morrisville, NY 13408
Phone: (315) 684-3001 ~ Fax: (315) 684-9290 www.madisoncountycce.org
www.facebook.com/ccemadison
Cornell Cooperative Extension of Madison County
Page 4
All 4-H members who are entering grades 7-12, who are interested in being considered for awards and trip scholarships are required to complete this form. If you have applied in previous years, you should fill out a new form this year and submit it in a three ring notebook with the forms from previous years to make a complete record. Keep each year separate and clearly mark each year. Remember, the information asked for is about the last 4-H year—the one that began October 1, 2016 through September 30, 2017. This information will be reviewed by the Award Selection Committee and used to determine award selection in the fall. Name _______________________________________________ Date of Birth ________ Project area you would like to be considered for recognition _______________________ Mailing Address __________________________________________________________ (Street/Post Office Box) ________________________________________________________________________ (City/Village) (State) (Zip) Email address ____________________________________________________________ Phone __________________Number of Years in 4-H ________ Grade in School_______ Number of Years in Cloverbuds ________ (as beginning of current 4-H year) Name of Club ____________________________________________________________ The following statement must be signed by member, leader and parent/guardian. Also, please remind your leader (parent or other adult who has knowledge about your 4-H Trade Show involvement) to fill out a recommendation on the Leader Nomination form. Have a recommendation is your responsibility.
I believe the contents of this form are accurate and I understand that this form will be used in the selection of award winners and or 4-H promotion. 4-H Member Signature___________________________ Date______ 4-H Leader Signature ____________________________ Date______ Parent/Guardian Signature ________________________Date______
Cornell Cooperative Extension of Madison County
Page 5
4-H Project Summary List all of the 4-H projects that you have completed this year. Tell us what you did and how much time it took you. Include 4-H project record sheets that you have completed and any certificates of accomplishment you have for these projects. Pictures, news, articles, etc. are also great additions (You may attach an additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Sam Filler, Empire State Development
4-H Activities and Trips List 4-H club outings, field trips, camps, workshops, conferences, award trips, fairs and other 4-H programs that you attended (You may attach additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 6
4-H Presentations/Communication List any 4-H public presentations, working exhibits, news articles, interviews, demonstrations, etc. Indicate where the presentation was given and the size of the audience (your best estimate). Be sure to indicate if you gave the same presentation multiple times. Also tell us what your presentation was about and what did you learn (You may attach additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 4-H Leadership List 4-H activities where you led or assisted in leading a group (ex: teach a project, lead a game, serve on a committee, hold an office, etc.). Tell us about the skills you have learned. (You may attach additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________
Cornell Cooperative Extension of Madison County
Page 7
4-H Community Service List any 4-H community service projects you have participated in. Tell us about the community service and why it was important to you. How did you feel? (You may attach additional sheets of paper). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Home, School and Community Activities What you learn in 4-H can be applied to things you do in the home, school and community Sam Filler, Empire State Development in which you live. Participation in other areas can also support your 4-H work. List activities where you have involvement such as sports, leadership, communications, community service, other groups, jobs, etc. This should tell us about other involvement and interests that you have. Tell us about anything you do and why you do it (You may attach additional sheets of paper). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 8
What 4-H Means To Me Tell us about an experience you had in 4-H this year. Why was it important to you? What else would you like to tell us about 4-H? How did you feel? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________
Cornell Cooperative Extension of Madison County
Page 9
Award Trip Section Guidelines: 1. All teens, currently enrolled in 7th—12th grade with at least 1 year or more of club work are eligible to apply for the following trips with consideration to age appropriateness considered. 2. All trip winners will be announced at the Awards and Recognition Banquet. Further trip details will be sent closer to the time of the trip. 3. Be sure to fill out the trip form as completely as possible and return to the Cooperative Extension Office with your 4-H Portfolio. 4. If you are not interested in a trip please indicate that on the form and include in your portfolio. Capital Days Objective: Participants gain insight into how State government works, explore career opportunities in government and meet with legislators. Great opportunity to meet teens from across the state. Sam Filler, Empire State Development When: May (Sunday—Tuesday) Where: Albany, NY Age: 9th-12th Grade Cornell Career Explorations Objective: Gain insight into career and job opportunities. This trip allows for an opportunity to experience Cornell University campus. When: Last week in June Where: Cornell University Age: 7th-12th Grade
Cornell Cooperative Extension of Madison County
Page 10
Continue Award Trip Section Honor Trip Scholarships Receive a scholarship to be used towards the educational experience of you choice. The choices will include:
A.B.C. Trip—End of September to early October trip to SUNY Cobleskill explores numerous career opportunities in the agricultural field. STARR—This weekend offers an opportunity to join with other teens in the state to talk about promoting 4-H and developing leadership. Teen Winter Weekend—This February trip travels to Camp Oswagatchie for a weekend of winter activities and offers a chance to meet 4-H’ers from other counties. Equine & Dairy 101—This two day camp allows 4-H’ers to experience college life at SUNY Morrisville with the option to study dairy or equine. Dairy Discovery is a trip to Cornell that offers in-depth information about the dairy industry. 4-H camp is offered in many areas of the state. The 4-H office can assist you with information about camps in an area of your interest. Other 4-H sponsored or approved educational trips as approved by 4-H office.
If you would like to be considered for an award trip scholarship, please fill out page 11. A trip scholarship winner will receive only one award trip scholarship per year. Many trips can still be taken advantage of on a self pay basis. Trips will be awarded each year with consideration to funds available to be used. Please note this awards are non-transferable Trade Show and cannot be shared with another member.
Cornell Cooperative Extension of Madison County
Page 11
Continue Award Trip Section Name _________________________________________________ Date_______________ My first choice of a trip is _____________________________________________________ I want to attend this specific trip because _________________________________________ ___________________________________________________________________________ When I return I will share what I learn in the following ways ________________________ ___________________________________________________________________________ My second choice of a trip is ___________________________________________________ I want to attend this specific trip because _________________________________________ ___________________________________________________________________________ When I return I will share what I learn in the following ways ________________________ ___________________________________________________________________________ Sam Filler, Empire State Development
My third choice of a trip is ____________________________________________________ I want to attend this specific trip because _________________________________________ ___________________________________________________________________________ When I return I will share what I learn in the following ways ________________________ ___________________________________________________________________________ Other information you would like the committee to consider? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________
Award Selection Score Sheet
Basic Criteria:
(Please leave blank, this page is filled out by the awards selection committee.)
Current 4-H member, active member for at least 3 years Graduating senior or in first year of post-high school education Completed 2 public presentations Completed at least 3 projects in a 3-year period Committed to community service Criteria
Max
Form complete and neat
5
4-H project work and activities
25
Presentations / Communications
10
Leadership
10
Community Service
20
Essays
20
Recommendations
10
TOTALS
100
Points
Comments
Overall Impression & Additional Comments:
Building Strong and Vibrant New York Communities P.O. Box 1209 ˗ 100 Eaton Street ˗ Morrisville, NY 13408 www.madisoncountycce.org & www.facebook.com/ccemadison Phone: 315-684-3001 Fax: 315-684-9290 Both Extension staff and volunteers, which include 4-H club leaders, are bound by the following statement: Cornell Cooperative Extension associations provide equal opportunities. No person shall be denied on the basis of any legally prohibited discrimination involving, but not limited to, such factors as race, color, creed, religion, national or ethnic origin, sex, sexual orientation, age or qualified disability.
Madison County 4-H www.madisoncountycce.org
Cornell Cooperative Extension of Madison County
Page 2
Awards and Recognition Portfolio This booklet is designed to help organize your accomplishments - this is your time to shine. Please include everything you have done in 4-H and your community. It is recommended to include pictures of you doing project work and other things you are proud of. Don’t be shy ask your parents and/or leader to help you. Don’t forget to include a recommendation from your leader, other adult or parent. Plan to attend the Awards and Recognition Banquet in January. 1. The new 4-H Portfolio includes the trip application form and explanation. Be sure to use the form dated revised October 2016. and remember - if you want to try for a trip you MUST fill out the page 11. 2. Answer each question in the 4-H portfolio and tell your 4-H story. You might find your 4-H scrapbook helpful. If you don’t have a scrapbook ask your parents and leader to help you remember and make a mental note to start a scrapbook. a. Page 4 must be filled out completely. b. 4-H project summary tells the reviewer what you did. Brag a little - it’s ok. c. 4-H activities & trip section is where you tell about all the fun things you have done in 4-H, include as many as you can think of. d. 4-H presentations and communication section tells the story of your presentation career. Remember to include club and county presentations. Also any other opportunities that you had to speak in front of people as a result of being a 4-H member. e. 4-H leadership section is an opportunity for you to share the ways in which you used your leadership skills. Trade Show f. 4-H community service section tells the committee the story of how you con tribute to the community. What has your 4-H club done? What have done on your own?
Cornell Cooperative Extension of Madison County
Page 3
g.
Home, school and community section is another opportunity to brag to the committee on what you have learned in 4-H and how you have applied it in your community. What have you done at school, church or other community organizations? h. What 4-H means to me section is the most important or memorable thing you have done in 4-H this year. i. Award trip section is an opportunity to apply for a trip of your interest. If you are not interested in a trip - write that on page 11. 3. Thank goodness—you’re done. Make sure your portfolio is neat and readable. Now that you did all this work you want people to be able to read it. Many of your experiences may overlap within sections, that’s ok. How did you feel after an event or when you completed a project? Tell us about how it feels in each of the sections. 4. Be sure to turn your completed portfolio in by November 1. The committee needs time to review your work. This portfolio should reflect you and your experiences. Each year of your 4-H portfolio should be separate. This portfolio is an ongoing record of your 4-H experiences and accomplishments. Sam Filler, Development 5. Congratulations - great job!Empire AfterState you receive your portfolio back remember to keep it in a safe place for next year. We recommend you use a three ring binder and include pictures. It is better if you turn your portfolio in person but if you can’t call us for special directions for filing electronically. Please call the 4-H office if you need help and we will be happy to assist you. Chelsea Jones & Jessica Spaulding Cornell Cooperative Extension of Madison County P.O. Box 1209
Morrisville, NY 13408
Phone: (315) 684-3001 ~ Fax: (315) 684-9290 www.madisoncountycce.org
www.facebook.com/ccemadison
Cornell Cooperative Extension of Madison County
Page 4
All 4-H members who are entering grades 7-12, who are interested in being considered for awards and trip scholarships are required to complete this form. If you have applied in previous years, you should fill out a new form this year and submit it in a three ring notebook with the forms from previous years to make a complete record. Keep each year separate and clearly mark each year. Remember, the information asked for is about the last 4-H year—the one that began October 1, 2016 through September 30, 2017. This information will be reviewed by the Award Selection Committee and used to determine award selection in the fall. Name _______________________________________________ Date of Birth ________ Project area you would like to be considered for recognition _______________________ Mailing Address __________________________________________________________ (Street/Post Office Box) ________________________________________________________________________ (City/Village) (State) (Zip) Email address ____________________________________________________________ Phone __________________Number of Years in 4-H ________ Grade in School_______ Number of Years in Cloverbuds ________ (as beginning of current 4-H year) Name of Club ____________________________________________________________ The following statement must be signed by member, leader and parent/guardian. Also, please remind your leader (parent or other adult who has knowledge about your 4-H Trade Show involvement) to fill out a recommendation on the Leader Nomination form. Have a recommendation is your responsibility.
I believe the contents of this form are accurate and I understand that this form will be used in the selection of award winners and or 4-H promotion. 4-H Member Signature___________________________ Date______ 4-H Leader Signature ____________________________ Date______ Parent/Guardian Signature ________________________Date______
Cornell Cooperative Extension of Madison County
Page 5
4-H Project Summary List all of the 4-H projects that you have completed this year. Tell us what you did and how much time it took you. Include 4-H project record sheets that you have completed and any certificates of accomplishment you have for these projects. Pictures, news, articles, etc. are also great additions (You may attach an additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Sam Filler, Empire State Development
4-H Activities and Trips List 4-H club outings, field trips, camps, workshops, conferences, award trips, fairs and other 4-H programs that you attended (You may attach additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 6
4-H Presentations/Communication List any 4-H public presentations, working exhibits, news articles, interviews, demonstrations, etc. Indicate where the presentation was given and the size of the audience (your best estimate). Be sure to indicate if you gave the same presentation multiple times. Also tell us what your presentation was about and what did you learn (You may attach additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 4-H Leadership List 4-H activities where you led or assisted in leading a group (ex: teach a project, lead a game, serve on a committee, hold an office, etc.). Tell us about the skills you have learned. (You may attach additional sheets of paper). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________
Cornell Cooperative Extension of Madison County
Page 7
4-H Community Service List any 4-H community service projects you have participated in. Tell us about the community service and why it was important to you. How did you feel? (You may attach additional sheets of paper). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Home, School and Community Activities What you learn in 4-H can be applied to things you do in the home, school and community Sam Filler, Empire State Development in which you live. Participation in other areas can also support your 4-H work. List activities where you have involvement such as sports, leadership, communications, community service, other groups, jobs, etc. This should tell us about other involvement and interests that you have. Tell us about anything you do and why you do it (You may attach additional sheets of paper). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 8
What 4-H Means To Me Tell us about an experience you had in 4-H this year. Why was it important to you? What else would you like to tell us about 4-H? How did you feel? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________
Cornell Cooperative Extension of Madison County
Page 9
Award Trip Section Guidelines: 1. All teens, currently enrolled in 7th—12th grade with at least 1 year or more of club work are eligible to apply for the following trips with consideration to age appropriateness considered. 2. All trip winners will be announced at the Awards and Recognition Banquet. Further trip details will be sent closer to the time of the trip. 3. Be sure to fill out the trip form as completely as possible and return to the Cooperative Extension Office with your 4-H Portfolio. 4. If you are not interested in a trip please indicate that on the form and include in your portfolio. Capital Days Objective: Participants gain insight into how State government works, explore career opportunities in government and meet with legislators. Great opportunity to meet teens from across the state. Sam Filler, Empire State Development When: May (Sunday—Tuesday) Where: Albany, NY Age: 9th-12th Grade Cornell Career Explorations Objective: Gain insight into career and job opportunities. This trip allows for an opportunity to experience Cornell University campus. When: Last week in June Where: Cornell University Age: 7th-12th Grade
Cornell Cooperative Extension of Madison County
Page 10
Continue Award Trip Section Honor Trip Scholarships Receive a scholarship to be used towards the educational experience of you choice. The choices will include:
A.B.C. Trip—End of September to early October trip to SUNY Cobleskill explores numerous career opportunities in the agricultural field. STARR—This weekend offers an opportunity to join with other teens in the state to talk about promoting 4-H and developing leadership. Teen Winter Weekend—This February trip travels to Camp Oswagatchie for a weekend of winter activities and offers a chance to meet 4-H’ers from other counties. Equine & Dairy 101—This two day camp allows 4-H’ers to experience college life at SUNY Morrisville with the option to study dairy or equine. Dairy Discovery is a trip to Cornell that offers in-depth information about the dairy industry. 4-H camp is offered in many areas of the state. The 4-H office can assist you with information about camps in an area of your interest. Other 4-H sponsored or approved educational trips as approved by 4-H office.
If you would like to be considered for an award trip scholarship, please fill out page 11. A trip scholarship winner will receive only one award trip scholarship per year. Many trips can still be taken advantage of on a self pay basis. Trips will be awarded each year with consideration to funds available to be used. Please note this awards are non-transferable Trade Show and cannot be shared with another member.
Cornell Cooperative Extension of Madison County
Page 11
Continue Award Trip Section Name _________________________________________________ Date_______________ My first choice of a trip is _____________________________________________________ I want to attend this specific trip because _________________________________________ ___________________________________________________________________________ When I return I will share what I learn in the following ways ________________________ ___________________________________________________________________________ My second choice of a trip is ___________________________________________________ I want to attend this specific trip because _________________________________________ ___________________________________________________________________________ When I return I will share what I learn in the following ways ________________________ ___________________________________________________________________________ Sam Filler, Empire State Development
My third choice of a trip is ____________________________________________________ I want to attend this specific trip because _________________________________________ ___________________________________________________________________________ When I return I will share what I learn in the following ways ________________________ ___________________________________________________________________________ Other information you would like the committee to consider? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________
Award Selection Score Sheet
Basic Criteria:
(Please leave blank, this page is filled out by the awards selection committee.)
Current 4-H member, active member for at least 3 years Graduating senior or in first year of post-high school education Completed 2 public presentations Completed at least 3 projects in a 3-year period Committed to community service Criteria
Max
Form complete and neat
5
4-H project work and activities
25
Presentations / Communications
10
Leadership
10
Community Service
20
Essays
20
Recommendations
10
TOTALS
100
Points
Comments
Overall Impression & Additional Comments:
Building Strong and Vibrant New York Communities P.O. Box 1209 ˗ 100 Eaton Street ˗ Morrisville, NY 13408 www.madisoncountycce.org & www.facebook.com/ccemadison Phone: 315-684-3001 Fax: 315-684-9290 Both Extension staff and volunteers, which include 4-H club leaders, are bound by the following statement: Cornell Cooperative Extension associations provide equal opportunities. No person shall be denied on the basis of any legally prohibited discrimination involving, but not limited to, such factors as race, color, creed, religion, national or ethnic origin, sex, sexual orientation, age or qualified disability.
