Colorado State 4-H President Application

Colorado State 4-H 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
Years in 4-H, Including Present *
County *
If not elected to State 4-H President, I would be interested in running for State 4-H Vice President? *

Yes No
4-H Record
4-H Projects *
List All 4-H Projects Completed
Offices Held *
Indicate Club, County, District, State
Other Leadership Responsibilities *
List All Awards Received
Number/Highlights of Presentations Given
List State, Local, County, District Presentations
Training Received and Experience as a Camp Counselor
Enter all trainings received
School Information
School *
Enter your school
Grade *
Enter your grade
School Clubs, Offices, Community Organizations, and Activities *
(Sports, Student Council, FBLA, Music Groups, Etc.)
In 100 words or less, explain why you want to be State 4-H President. *
I understand that as Senate 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.
4-H Members Signature & Date *

Clear
Month Day Year
Date
4-H Parent/Guardian Signature & Date *

Clear
Month Day Year
Date
Should be Empty:

Colorado State 4-H President

4-H Record

School Information