Are you Illinois 4-H Grown?
4-H members, alumni and volunteers share a rich history. We want to keep you connected to the Illinois 4-H program. Thank you for registering as a member of the Illinois 4-H Alumni Association.
Name
*
First Name
Last Name
Maiden Name (if applicable):
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Male
Female
Other
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
County & State of 4-H Membership: (e.g. "Macon, IL")
*
Email Address:
*
example@example.com
Cell Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Home Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Business Name:
Job Title:
Race
White
Black
Native American or Pacific Islander
Asian
Other Race
2 or more races
Unknown
Ethnicity
Hispanic/Latino
Non-Hisanic/Non-Latino
I am a:
4-H Alumni
4-H Volunteer
Friend of 4-H
I would be interested in:
Volunteer in a local county.
Volunteering at the state level.
Sharing about my career experience.
Learning more about giving opportunities to support Illinois 4-H.
Other
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