4-H KEY AWARD

2016

Wisconsin 4-H Key Award recognizes a select group of 4-H members who have demonstrated consistent growth in their 4-H program; developed and applied their leadership skills; and actively participated in the functions of their 4-H club and community.

A.	Candidates must:

1.	Have completed 10th grade before applying for the award.

2.	Completed 3 years of 4-H club membership.

3.	Completed 1 year of youth leadership to their club and / or county (not limited to the youth leadership project).

B.	Selection is based on evaluation of candidates, total 4-H record. (Membership, projects, activities, leadership, personal development, county 4-H and community involvement.)

C.	Candidates submit all of their available record books, an application, and one leader recommendation in September of the year they are applying for.

D.	Selection is done by Waupaca County 4-H Leaders' Awards and Recognition Committee.

E.	Number of Key Awards is determined by quota from State 4-H Office.

DUE: September 20, 2016

KEY AWARD APPLICATION	2016

Name ________________________________________________	Yrs. in 4-H __________

Club ________________________________________________	Yr. in school _________

Future Plans _________________________________________________________________

I have attended the following during my years in 4-H:

_____	Ambassador

_____	Leadership Washington Focus

_____	State 4-H and Youth Conference

_____	Citizenship Washington Focus

_____ Space Camp

_____	American Spirit Trip

_____	4-H Camp (Winter or Summer)

_____	4-H Camp Counselor

_____	Other (please list)

______________________________

______________________________

List 4-H projects and number of years in project (top/most recent 6 projects):

Project	Yrs.

1.	______________________________________________

2.	______________________________________________

3.	______________________________________________

4.	______________________________________________

5.	______________________________________________

6.	______________________________________________

List non 4-H activities (ex. Church, school, other youth groups)

Activity	Year/years

Based upon your experiences in 4-H, how has your involvement benefited you?

How will your 4-H involvement help you in developing your leadership and community responsibilities?