2018 State Grange Distinguished Youth Program
State Granges may qualify for the award by completing enough of the following requirements to earn 100 points
State Grange Name
Name of Submitter
Current Grange Position Held
Address
City/County
State
Zip Code
Phone
Email
Organize a State Youth Committee/ Youth Team (If your Grange has a youth committee organized prior to July 1, 2017, please indicate when it was organized below) (5 pts.)
Committee Chair
Date Organized
E-mail of Committee Chair
Phone Number of Committee Chair
Host a state committee organizational meeting or at least 2 committee meetings if your committee was previously organized (5 pts.)
Fill in meeting dates below
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
Have a state youth event, such as camp, lock-in, or retreat (10 pts.)
Specify event type and date when it was held
Event Type:
Date
-
Month
-
Day
Year
Date
Organize a youth activity at State Session (5 pts.)
Specify activity and number of participants in activity
Activity
# of Participants
Host state youth speech, Sign-A-Song contest and Grange Jeopardy Contests. (20 pts.)
List number of participants below
# of Speech Participants
# of Sign-A-Song Participants
# of Jeopardy Participants
Participate in Apathy Not Allowed program as a s State Grange (ex. of programming options: hist a youth-oriented Capitol Day, sponsor a youth to attend the National Grange Fly-In, work with youth to present a legislative program at the State level, or some equivalent legislative-oriented youth activity or program) Describe activity in space bellow. (20 pts)
Program description
Host a State Youth Ambassador contest or Young Couple/ Young Adult contest (10 pts.)
Youth Ambassador(s)
Young Couple/ Young Adult
Allow Youth Officer Team to open or close State Session (5 pts). Pass along form login information to have State Master (president) Login and sign
First Name
Last Name
Submit an article or column to your State Grange newsletter (5 pts.)
Attach File below
Include Date published and Title in File Name
Submit article to National Grange Youth Director for consideration in youth department blog about your youth program or an event. (5 pts.)
Attach article below
Include Date submitted and Title in File Name
Organize a youth community service project. (15 pts.)
Describe project in box below
Community Service Project:
Organize a youth-oriented membership drive or recruitment activity/ program or have at least five youth from your state participate in a G.O.A.L. seminar (20 pts.)
Details of activity/ program or seminar
Work with your Lecturer or other state committee to have a new youth-oriented program or competition in 2017 or 2018 (20 pts.)
Details of program/ competition
Lecturer or OTHER Committee Chair's Signature
First Name
Last Name
Donate at least $200 from your State Grange to the National Grange Foundation Youth Fund. (this donation will also count for you State's National Grange Distinguished Grange Application) (15 pts.)
Fill out date of donation and amount spaces below
Date
-
Month
-
Day
Year
Date
Amount Donated
I certify to the best of my knowledge that the above information is correct. Total Points:
Digital Signature of Submitter
First Name
Last Name
Digital Signature of State Master (President)
First Name
Last Name
Submit
Submit
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