Jersey County 4-H
County Award Nomination Form
Nominator Information
Please complete the fields below with your information so we may contact you with questions, if needed.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Award Nominations
Submit names and explanations in the provided space below for award consideration.
Outstanding 4-H Member - Recognize a 4-H member who exhibits outstanding participation in project learning, leadership, and community service at the club, and county level. Please list name of the member you are nominating and why they should be considered for the award.
Outstanding New/1st Year Member - The outstanding new member is a youth who jumped into 4-H with both feet. They were involved in service and decision making in their club, excelled at project learning and participated in many county and club level activities. Please list the name of the member you are nominating and why they should be considered for the award.
I Dare You Award - The I Dare You Award recognizes a 4-H member who exhibits personal integrity and potential for leadership. Please list the alumni you are nominating and why they should be considered for the award.
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