2026 Golden Clover Award Nomination Form

2026 Golden Clover Award Nomination Form
Nomination submission deadline:

June 1, 2026

Click here for a list of past winners

We recommend compiling the information/typing it in a word document & then copying it into the form.
Golden Clover - recognizes a retired volunteer or volunteer of retirement age for service to 4-H & the McLean County FairEmerald Clover - recognizes a person who is deceased for volunteer service to 4-H and the county fair (who did not receive a Golden Clover)Special Clover - recognizes a staff member of retirement age for work with 4-H & the county fair
Person Being Nominated*

First NameLast Name
Approx. Age
Nominee/Family's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Name*

First NameLast Name
Your Phone Number*

Area CodePhone Number
Your E-mail*
example@example.com
We understand that time can take a toll on the ability to remember details about past events. Please complete this nomination to the best of your knowledge and record searches when needed. Thank you.
A. Service & Activities: Describe the nominee’s service activities (Please list specifics, such as…years in 4-H as member, awards/ honors; participation as club leader and their club or clubs, type of leader; years involved on county or state level, explain; specific duties at fair, number of years); etc
A. 4-H/County Fair Service
B. Reasons why the nominee should receive the award:
Signature

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