2025 Illinois 4-H Alumni Award Application

2025 Illinois 4-H Alumni Award Application
Sponsored by the Illinois 4-H Alumni Association

The highest honor is bestowed upon a 4-H alumnus by the Illinois 4-H Association and Illinois 4-H program on behalf of the University of Illinois. This award recognizes an elite group of Illinois 4-H alumni for their outstanding career accomplishments and leadership in civic, community, and professional activities.

Nomination Deadline: March 15, 2025

The award was established by the Illinois 4-H Foundation in 1981 and was awarded through 2014. The Illinois 4-H Alumni Association re-established the award in 2023.

View all past award winners online: https://4h.extension.illinois.edu/alumni/alumni-awards-and-recognition

Guidelines for Nomination:

We suggest working with the nominee to seek accurate information for this application.

Any individual is eligible to receive the award which was:
- An Illinois 4-H member for a minimum of three years
- Is living at the time of selection (Current 4-H staff are not eligible.)
Selection Process:
- A committee will review nominations.
- Up to two recipients will be selected statewide each year.
- Award winners will be notified following selection.
- Winners will be recognized one day at the 2025 Illinois State Fair, August 8-10
- The 4-H Alumni Award may only be received once per individual.
Attachments:
- References must be attached to the online nomination by March 15.
- A minimum of two references and a maximum of four, in support of the nomination. References are not scored; they only provide support for the nomination.
- Attach a resume of the nominee. (no vitae, please).
All nominations are kept on file for three years to be reviewed; however, nominators are encouraged to update forms if they are re-considered after the initial year of application.

Questions, please contact:
Tina Veal
4-H Alumni & Constituent Engagement Manager
Illinois 4-H Alumni Association
University of Illinois Extension State 4-H Office
801 N. Country Fair Drive, Suite E
Champaign, IL 61821
Phone: 217-333-0910 or Email vealt@illinois.edu

2025 Illinois 4-H Alumni Award Nomination
Nominator Information
Nominators Name

First NameLast Name
Nominator's Title:
Nominator's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Nominator's Signature

Clear

Nominee Information
Name of Nominee*

First NameLast Name
Phonetic Pronuciation of First & Last Name*
Birthdate: (mm/day/year)*

MonthDayYear
Active 4-H member in Illinois County:*
Years in 4-H
Year Graduated from 4-H
Spouses Name, if applicable

First NameLast Name
Nominee Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Please enter a valid phone number.
Home/Work Phone
Please enter a valid phone number.
Nominee's Email*
example@example.com
Upload a Photo of Nominee, head and shoulder preferred.

If photo is not available at time of nomination, we will require one if winner is selected.
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Nominee's Biography

Nominee Post Secondary Education (if applicable)

	Degree	Major	University/College	Graduation Year
1.
2.
3.
4.

Present Occupation:
Company Name
Job Title
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Telephone:
Please enter a valid phone number.
Nominee's Resume Upload

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Nominating Statement

Please provide a summary (maximum of 500 words) of the nominee's demonstrated achievement in their profession, service, and leadership in community programs as an emerging leader and an ambassador for 4-H. (This statement will be used to introduce the nominee if he/she is selected for the award.)
Nominating Statement*

0/500

Career Accomplishments

Previous career experiences - Please list former occupations and positions chronologically, starting with the most recent first.

	Company	Job Title	Years
1.
2.
3.
4.
5.

Career Accomplishments - Cite major accomplishments, innovations and/or successes in chosen profession/career.*

0/300

Summary of Accomplishments
Summary of Accomplishments as a 4-H Member
Summary of Accomplishments as a 4 H Member - Please share key projects, achievements, leadership, and events attended at the club, county, state, national and international level(s) as an Illinois 4-H youth member.*

0/500
Impact of 4-H & Service

How has 4-H impacted the nominee's life? How has the nominee continued their commitment to 4-H as a 4-H alumnus? How have they served as an ambassador for the Illinois 4-H program and young alumni community? Please provide examples. (Max of 500 words)
Service to 4-H*

0/500
Civic Leadership

Include specific examples of the nominee's contributions to the betterment of society through involvement in community and charitable organizations (civic, community, school, church, public service, etc.). List dates and leadership roles, if applicable. (Non-4-H Leadership)
Civic Leadership*

0/500
Awards and Honors

Please list awards and honors the nominee has received that are non-4-H related to their profession, community, and/or philanthropy.
Awards and Honors (Non 4-H Related)*

0/300

References

A minimum of two references and a maximum of four, in support of the nomination. Preferred to have references attached below; however, they can be emailed directly to il4halumni@illinois.edu by the deadline.

References

	Name	Reference Title	Email	Submitted
Reference 1
Reference 2
Reference 3
Reference 4

Uploaded Reference Letters (Maximum: 4) - References letters must be submitted with application by the deadline.

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Should be Empty:

2025 Illinois 4-H Alumni Award Nomination

Nominator Information

Nominee Information

Nominee's Biography

Present Occupation:

Nominating Statement

Career Accomplishments

Summary of Accomplishments

Summary of Accomplishments as a 4-H Member

Impact of 4-H & Service

Civic Leadership

Awards and Honors

References