My 4-H Records – Logan/Menard/Sangamon Counties

My 4-H Records – Logan/Menard/Sangamon Counties
September 1, 2023-August 31, 2024
Typed Records are preferred, but handwritten is acceptable for members ages 8-10.

Give completed Records to your club leader at the end of the 4-H year. After signing them, your leader will submit them to the county 4-H office. Your Records will be reviewed at the county level, and you will be given feedback on areas to expand or improve.
Name
4-H age (your age as of September 1, 2022)
Year you joined 4-H
4-H Club
Number of meetings held by your 4-H club this year
Number of 4-H club meetings you attended this year
Member's Signature: I personally completed this document, and it accurately reflects my work.

Clear
Parent's Signature: I reviewed this document, and it accurately reflects the member’s work.

Clear
Community ServiceLeadershipPersonal GrowthProject Achievement in Animal Science (Beef, Cats, Dairy Cattle, Dairy Goats, Dogs, Horse, Meat Goats, Poultry, Rabbit, Sheep, Small Pets & Guinea Pigs, Swine, Vet Science)Project Achievement in Career/Leadership (Build Your Future, Entrepreneurship, My Financial Future, Leadership)Project Achievement in Civic Engagement (Civic Engagement, Service Learning, Collectibles, Exploratory, Family Heritage, Passport to the World, Diversity & Cultural Awareness)Project Achievement in Creative Arts (Communications, Creative Writing, Journalism, Public Speaking, Interior Design, Photography, Theatre Arts, Video, Visual Arts, Clothing, Shopping in Style)Project Achievement in Environmental Sciences (Entomology, Beekeeping, Forestry, Geology, Exploring Your Environment, Natural Resources, Outdoor Adventures, Sportfishing, Wildlife, Weather, Shooting Sports)Project Achievement in Food Systems (Crops, Floriculture, Vegetable Gardening, Cover Crops, Plants & Soils)Project Achievement in Healthy Living (Child Development, Cooking, Food Science, Sports Nutrition, Food Preservation, Health)Project Achievement in STEM (Aerospace, Bicycle, Computer Science, Electricity, Robotics, Small Engines, Maker, eSports, Drones, Tractor, Welding, Woodworking)
Section 1 – Activity Lists
If you are submitting in multiple categories, you should only complete Section 1 one time. Space is limited, so you may have to choose which items are most relevant and leave out things that are less important. You do not need to fill all rows.

4-H Project Learning - List 4-H project work completed in the past 3 years. Show the size and scope by including quantities, such as the number of animals owned/leased, dishes prepared, items made, etc. Include things you learned, things you created, workshops attended, and what you exhibited.

Rows	4-H Year	Project Name	What I Did & Learned

Community Service - List community service activities you have done in the past 3 years. Mark if the activity was done as an Individual, at a Club/Group level (activities done through 4-H and also through other organizations), at a County/Regional level, or at a State/National level.

Rows	4-H Year	Individual	Club/Group	County/Region	State/Nation	Group/Activity Name	What I Did & Learned

Leadership - List leadership you demonstrated in 4-H and other organizations in the past 3 years. Include officer and committee positions held, times you were in charge of something, teaching/mentoring, public speaking, talks/demonstrations presented, etc. Mark if the leadership was done at a Club/Group level, at a County/Regional level, or at a State/National level.

Rows	4-H Year	Club/Group	County/Region	State/Nation	Group/Event Name	What I Did & Learned

Participation – List ways you participated in 4-H and other organizations in the past 3 years. Include sports, music, school clubs, other youth organizations, and religious groups. Focus on things like group membership and workshops attended. Mark if you participated at a Club/Group level, at a County/Regional level, or at a State/National level.

Rows	4-H Year	Club/Group	County/Region	State/Nation	Group/Event Name	What I Did & Learned

Section 2 - My 4-H Story
Use the text box on the following page. Attach extra copies of the page if you are submitting stories for multiple categories.

If you are 8-10 years old (as of September 1), write an essay of at least 1 paragraph of 4-5 sentences. Tell about what you did in 4-H this year. What did you like best about your year in 4-H and what would you like to do next year? Try to be specific. (For example, write “I had fun using clay to make a cat figure,” instead of just “I liked doing Visual Arts.”) If you are submitting in multiple categories, you can cover them all within one essay.

If you are 11-13 years old (as of September 1), write a 100-400 word essay for each category you are focusing on. Write about what you accomplished over the past 3 years in that category. Include what you liked best, challenges you faced, how you incorporated what you learned in previous years, and what you would like to do next year.

If you are 14-18 years old (as of September 1), write an essay of at least 300 words for each category you are focusing on. The essay should emphasize activities done in the past 3 years, but it may also include earlier motivations and experiences that laid the foundation for your current involvement. It should NOT be a listing of awards received.
- For Community Service, focus on your 4-H work in service to others, including things you have done as an individual as well as group activities with your club.
- For Leadership, focus on the development of your leadership skills, including offices held, committees served on, programs led, public presentations on behalf of 4-H, and teen leadership roles such as teaching, mentoring, planning, promoting, advocating, etc.
- For Personal Growth, focus on your own personal growth through participating in 4-H. This can include, but is not limited to, growth in skills, demonstrated initiative, self-confidence, interpersonal interactions, etc.
- For Project Achievement, explain how you have mastered or excelled in that particular project area. This can include, but is not limited to, describing knowledge gained and skills developed in that area, goals set and how they were achieved, and how you used project-related knowledge/skills in other areas of your life.
Community ServiceLeadershipPersonal GrowthProject Achievement in Animal ScienceProject Achievement in Career/LeadershipProject Achievement in Civic EngagementProject Achievement in Creative ArtsProject Achievement in Environmental SciencesProject Achievement in Food SystemsProject Achievement in Healthy LivingProject Achievement in STEM
If you are submitting multiple Stories, you can attach a separate page to the printout of your Records. Be sure to label which Story is for which category.
Click the "Preview PDF" button to review your Records. You can click the back button to go back and make changes. You may need to use fewer words if the writing is so small that a judge won’t be able to read it. When your Records are done, download and print a copy of your PDF to give to your club leader. Your Records MUST be signed by your club leader.

Click the "Save" button to login or create a Jotform account, allowing you to save your progress and finish later. Note that you cannot "Save" multiple forms for different family members unless you create multiple Jotform accounts.

If you have trouble saving your PDF file, click the green button. This will immediately send a copy of your Records to 4-H staff, who will then forward the document to you so you can print it and give it to your club leader to sign.
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My 4-H Records – Logan/Menard/Sangamon Counties

September 1, 2023-August 31, 2024

Section 1 – Activity Lists

Section 2 - My 4-H Story