Madison County 4-H Due November 15 4-H Grows Here
Madison County 4-H Record Book (Kindergarten-6 Grade) Due November 15 4-H Grows Here
Madison County 4-H www.madisoncountycce.org
Cornell Cooperative Extension of Madison County
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4-H Record Book 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 Record Book allows you to keep track of all your projects during the 4-H year. 2. Answer each question in this booklet 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
g.
h.
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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? What 4-H means to me section is the most important or memorable thing you have done in 4-H this year.
i. 3. Thank goodness—you’re done. Make sure your booklet 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. Congratulations - great job! Remember to keep it in a safe place for next year. We recommend you use a three ring binder and include pictures. Please call the 4-H office if you need help and we will be happy to assist you. Chelsea Jones & Jessica Spaulding Sam Filler, Empire State Development
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
Page 4
Cornell Cooperative Extension of Madison County
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 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______ Trade Show
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 __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 6
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). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 7
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). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Sam Filler, Empire State Development ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 8
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 9
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). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Sam Filler, Empire State Development ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 10
Home, School and Community Activities What you learn in 4-H can be applied to things you do in the home, school and community 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). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 11
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? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Sam Filler, Empire State Development ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Paste your photo here.
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
4-H Record Book 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 Record Book allows you to keep track of all your projects during the 4-H year. 2. Answer each question in this booklet 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
g.
h.
Page 3
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? What 4-H means to me section is the most important or memorable thing you have done in 4-H this year.
i. 3. Thank goodness—you’re done. Make sure your booklet 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. Congratulations - great job! Remember to keep it in a safe place for next year. We recommend you use a three ring binder and include pictures. Please call the 4-H office if you need help and we will be happy to assist you. Chelsea Jones & Jessica Spaulding Sam Filler, Empire State Development
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
Page 4
Cornell Cooperative Extension of Madison County
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 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______ Trade Show
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 __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 6
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). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 7
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). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Sam Filler, Empire State Development ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 8
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 9
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). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Sam Filler, Empire State Development ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 10
Home, School and Community Activities What you learn in 4-H can be applied to things you do in the home, school and community 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). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Trade Show __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Cornell Cooperative Extension of Madison County
Page 11
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? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Sam Filler, Empire State Development ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Paste your photo here.
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.
