STARK COUNTY 4-H HONOR CLUB APPLICATION Returned to 4-H Office or Postmarked by October 15, annually

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1 STARK COUNTY 4-H HONOR CLUB APPLICATION Returned to 4-H Office or Postmarked by October 15, annually To be an Honor Club your club must participate in at least one activity under each heading and earn at least 215 points. Awards will be received at the county recognition program. CLUB VOLUNTEER ADDRESS CITY ZIP 1. MEMBER PROJECT COMPLETION PTS Number of projects registered in your club Number of projects completed with an evaluation Project completion%: /100 4-H PROMOTION A. New members enrolled and completed 5 pts.per member B. Display in local library, school or church Where When 10 pts. C. Participate in a local parade or special event What event How many members participated 10 pts. D. Hold a club meeting/activity open to the public Where When How many non 4-H=ers participated 10 pts. E. Other 10 pts. COMMUNITY SERVICE A. Hold a fund-raising event for a local cause 25 pts. B. Visit with residents at a nursing home or hospital. 25 pts. C. Complete a community beautification project (i.e., rake leaves, plant flowers, etc.) 25 pts. D. Other Community Service 25 pts. -OVER-

2 4. EDUCATIONAL PROGRAMS A. Present a demonstration at the fair or 4-H Activity Who and what demonstration 10 pts. B. Member of a ABowl@ Team-Members Names 3 pts. per member C. Attend a 4-H Project/Advisor Clinic- Names and Clinics 3 pts. per member D. Participate in a Pilot Puppy Program 10 pts. E. Educational Tour-Where Number of members 25 pts. F. Other _ Members participating 15 pts. 5. HEALTH & SAFETY PROGRAMS A. Visit a Health facility - where 10 pts. B. Have a Health or Safety Profession speak at a meeting Who and what was their talk about How many members participated 25 pts. C. Visit a Safety Organization - where 10 pts. D. Other _ Members Participating 15 pts Club Community Service Report: #Community Projects #Members Participating Total #Hours Community Service

3 Stark County 4-H Youth Program GOLD MEDAL AWARD GUIDELINES 1) The Gold Medal Awards will be used to recognize members who have shown outstanding effort, and personal increase of knowledge and skill, as well as those of outstanding achievement, in their category. 2) Gold Medal nomination forms will be sent directly to all organizational advisors (usually in late August or early September). Nomination forms must be returned to the 4-H Office or postmarked by October 15. 3) Any advisor may initiate the nomination. Advisors may nominate any 4-H member. The 4-H member does not have to be a member of the advisors own club. 4) 4-H Members may only be nominated on one project area, and members must have carried the project for which they are being nominated during the current year to be eligible for a Gold Medal Award. 5) Up to three 4-H members in each category may be selected for recognition. The top member in the category will receive a Gold Medal pin and certificate. The two runners-up will receive a certificate denoting honorable mention. 6) The Awards Committee will make the determinations using the nomination form and a point system based on four areas. The areas will be weighted as follows: -Citizenship/Leadership -Personal Initiative -Club Participation -Growth in Subject Area up to 40 points Total Possible Points = 100 7) It is not necessary for more than one advisor to nominate a member. When more than one advisor feels a member should be nominated, it is suggested that those advisors collaborate in completing the nomination form.

4 County 4-H Gold Medal Nominations Form (Due October 15, annually) Member Name County Club Years in 4-H /Project Area (min of 2 years Members Age (Jan. 1) Nominating Advisor Nominating Advisors Club Project Area Nominated For (select from list below) Gold Medal Project Areas: Beef, Poultry, Cats, Dogs, Dairy, Goats, Horse, Rabbits, Sheep, Swine, Llama, Gardening/Horticulture, Visual Arts (Creative Arts), Entomology/Bees, Veterinary Science, Aerospace, Electricity, Engines/Tractors/Field Equipment, Wood Science, Demonstration, Collectibles, Leadership, Forestry, Wildlife/Fisheries, Outdoor Education, Shooting Sports, Waste Management, Child Care, Clothing and Textiles, Food/Nutrition, Safety, Bicycles, Small Animals, Healthy Lifestyles (Health), Citizenship, Family Life (Genealogy), Home Environment (Home Decorating, etc.), Science and Technology (Radio Controlled Vehicles and Welding), Photography, Communication Arts (Creative Writing), Safety. Return To: OSU Extension, Stark County 2650 Richville Drive S.E., Suite 100, Massillon, Ohio Nominations must be postmarked by October 15 to be eligible. All 4-H Members are Eligible for County Medals. Medals in each of the areas listed below may be given to 4-Hers who have shown considerable growth and progress in 4-H this past year. Any 4-H advisor may initiate the nomination for a Gold Medal Award. Members must have carried a project in the category for which they are nominated after 2 or more years and the project area must have been carried during the current and previous years. Members may only be nominated in one (1) CATEGORY annually. Gold medal winners cannot repeat in same project area, but can be nominated for excellence in another project category. Please follow all directions carefully. It is important that you make answers clear and legible. 1. Citizenship/Leadership: Please list youth s services and/or leadership roles in the club, community, and project areas. If there are more than three in any area, please list the three you feel are most important. Club: 1. Community: 1. Project Area: 1. Club Participation: Rate the member=s attitude and level of participation in club activities. (0-10, negative to positive)

5 Growth in Subject Area: How did the 4-H=er demonstrate growth in subject area? (Ex.: Consult expert, special needs instruction, field trips, seminars, clinics, etc.). Additional Advisor Comments: Other reasons you feel the member merits consideration for special recognition in this area. (Examples: interesting projects, how project helped member, awards member has won related to this project, tied in with personal goals, leadership growth, etc.). Submitting Advisor s Name (Please Print): Signature Date