Colorado State 4-H District President Application

Colorado State 4-H District President

Application
Name *

First Name Last Name
Cell Phone Number *
Please enter a valid phone number.
4-H Member Email Address *
example@example.com
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
4-H Member Birth date *

Month Day Year
Date
Member 4-H Age *
as of December 31 of current 4-H Year
4-H Projects *
List All 4-H Projects Completed
Offices Held *
Indicate Club, County, District, State
Awards Received *
List All Awards Received
School Information
School
Enter school name
Grade
Enter current grade
GPA
Enter current gpa
Activities
(Sports, Student Council, FBLA, Music Groups, Etc.)
Awards
(Sports, Student Council, etc)
Honors or AP Classes
(Student of the Month, AP Honors, etc.)
Family Information
Enter any family information
Other Interesting Information
other
I understand that as Senate district president, I will be expected to attend all officer meetings during the year. Attendance will be required at State 4-H Conference, Leadership Development Conference, CLC and Youth Fest. As an officer, I will be expected to travel throughout the state during my term. I may be partially reimbursed by the 4-H Senate pending availability of funds. I am willing to chair a Senate standing committee and complete the assignments as listed in the Senate constitution. I will abide by the Colorado 4-H Code of Conduct while on official 4-H business.
President Signature & Date *

Clear
Month Day Year
Date
Parent/Guardian Signature & Date *

Clear
Month Day Year
Date
Should be Empty:

Colorado State 4-H District President

School Information