2025 State Grange Distinguished Youth Program

State Grange Distinguished Youth Program
State Granges may qualify for this award by completing enough of the following requirements to earn 100 points. Requirements must be met during the qualifying period of July 1, 2024 to June 30, 2025.
State Grange Name
Name of Submitter

First NameLast Name
Submitter's Current Grange Position
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Organize a state youth committee or youth team. (If your Grange had a youth committee organized prior to July 1 of the previous year please indicate when it was organized).
(5 pts)
Committee Chair Name
Date Organized
Chair Email Address
Host a state committee organizational meeting or at least 2 committee meetings if your committee was previously organized.
(5 pts.)
Meeting Date 1

MonthDayYear
Date
Meeting Date 2

MonthDayYear
Date
Have a state youth event, such as camp, lock-in, retreat, etc.
(10 pts.)
Event Type
Event Date

MonthDayYear
Date
Organize a youth activity at State Session.
(5 pts.)
Event Type
Number of Participants
Host state youth Speech, Sign-a-Song and/or Grange Trivia Contests.
(20 pts.)
Number of Speech Participants
Number of Sign-A-Song Participants
Number of Trivia Participants
Participate in an Advocacy/Legislative program as a State Grange. (Examples: host a trip for youth to visit your state Capitol; visit with legislator(s); sponsor a youth to attend the Washington DC Experience; work with youth to present a legislative program at the state level; teach youth to write resolutions; or other activities.)
(20 pts.)
Program Description:
Host a contest to select State Youth Ambassador(s) and/or Young Adult Ambasador(s).
(10 pts.)
Youth Ambassador
Young Adult Ambassador
Have a Youth Officer Team to open or close State Session.
(5 pts.)
Date of Performance

MonthDayYear
Date
State President or Youth Director Initials

Clear
Submit an article or column to your State Grange newsletter.
(5 pts.)
Title of Article
Date Published

MonthDayYear
Date
Create social media accounts and post regularly to promote youth activities in your state, as well as follow the National Grange and National Grange Youth Program. List account names below.
(10 pts.)
Instagram
Facebook
Other Accounts
Submit an application nominating a youth or young adult for the Wib & June Justi Community Service Award or the National Grange Junior Mentor Award.
(5 pts)
Community Service Award Nominee Name
Junior Mentor Award Nominee Name
Organize a youth community service project.
(15 pts)
Describe the project.
Organize a youth membership drive or a recruitment activity/program, or have at least five youth from your state participate in a membership seminar.
(20 pts)
Describe the activity/program.
Work with your Lecturer or other state committee to have a new youth-oriented program or competition.
(20 pts)
Describe the program.
Donate at least $200 from your State Grange to the National Grange Foundation Youth Fund. (This donation will also count for your State Grange Distinguished Grange application.)
(15 pts.)
Donation Date

MonthDayYear
Date
Amount of Donation
TOTAL OVERALL POINTS
CERTIFICATION:
I certify to the best of my knowledge that the above information is correct.
Signature of Submitter

Clear
Date

MonthDayYear
Date
Please verify that you are human*
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