<p> California Diamond Clover Award</p><p>The California Diamond Clover is the highest achievement for which a 4-H youth member is recognized. All youth members who achieve the requirements are eligible to receive this award. Awardees receive the California Diamond Clover Pin and a recognition letter from the Associate Director of 4-H Program and Policy. Applications are accepted year-round. Applications are reviewed by the 4-H Incentives and Recognition Advisory Committee and awarded quarterly. Eligibility Requirements: Awardees must complete at least 13 of the 17 requirements. Additionally, complete applications will include an essay of 300-500 words. </p><p>Mandatory: Must complete ALL of these Supplemental: Must complete at least four to meet the minimum of 13 requirements Completed at least 5 years as a California 4-H member Served as a Teen Leader for 3 years and taken at least with at least 3 as a senior member 10 projects Currently enrolled in 4-H as a member or an adult Served a term as a youth representative on a Sectional volunteer Council Be at least 17 years old and not older than 19, on the Served as a judge at a County, Multi-County or date of submission Sectional Presentation/Field Day OR State Field Day Earned a Platinum Star Rank Served as a chair/co-chair of a Multi-County, Sectional or State Committee OR served as a chair/co- chair for a Sectional Event or Conference OR Serve on a State Committee Earned a Gold medal, as a senior member, at a 4-H Served as a State Ambassador Sectional or State Presentation Day Served at least one term as a Club Executive Officer Presented a workshop at State Leadership Conference (President, Vice President, Secretary, Treasurer, or a Sectional Leadership Conference at least once Healthy Living Officer) Winner or Medalist of a State 4-H Record Book Participated in a Sectional, State or National Competition Citizenship Conference (e.g., CalFocus, Washington Focus, National 4-H Conference, etc.) Completed at least 100 hours of community service Served as a guest speaker at State Leadership Conference or any Sectional Conference or Forum Attended State Leadership Conference or a Sectional Leadership Conference at least once</p><p>Application Process:</p><p>Completed application packets must include the following:  Application Cover Page  Requirement Checklist  Signature Page  Essay, 300-500 words </p><p>1 Essay Instructions: The essay must be between 300 and 500 words. The essay will demonstrate your reflection on how 4-H has helped you to become a competent, confident, caring leader of character who is connected to others, and contributes to your communities. You must communicate evidence of how you have grown in all of the 6 Cs.  Hand-written or typed  Single or double spaced  11 or 12 point font  8.5 x 11 inch plain white copy paper</p><p>Contact Information: Send applications and inquires about the California 4-H State Diamond Clover Award or the selection process to:</p><p>California 4-H Diamond Clover UC ANR State 4-H Office 2801 Second Avenue Davis, CA 95618</p><p>It is the policy of the University of California (UC) and the UC Division of Agriculture & Natural Resources not to engage in discrimination against or harassment of any person in any of its programs or activities (Complete nondiscrimination policy statement can be found at http://ucanr.edu/sites/anrstaff/files/215244.pdf )</p><p>Inquiries regarding ANR’s nondiscrimination policies may be directed to Linda Marie Manton, Affirmative Action Contact, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1318.</p><p>2 4-H California Diamond Clover Award Application Cover Page</p><p>Name______</p><p>Address______</p><p>City/State/Zip______</p><p>Phone______E-mail______</p><p>Date of Birth ______Age______Years in 4-H______</p><p>County ______Section  North  N. Central  S. Central  South</p><p>3 4-H California Diamond Clover Award Requirement Checklist Page 1 of 2</p><p>Applicant Name Date </p><p>Complete the form. When an entry requires you to list a year(s) or program year(s), please use the program year. For example 2015/2016 is a 4-H program year. Please initial each item that you have completed. Your initial indicates that this is a true statement and qualifies you to receive this award. Mandatory Requirements: You must complete all of these requirements. </p><p>_____ Member of 4-H for at least five (5) years Dates of enrollment: From______To______Currently enrolled in 4-H as a member or an adult volunteer _____ At least 17 years old and not older than 19 _____ Achieved the Platinum Star Rank What year was it awarded? _____ Earned a Gold medal, as a Senior member, at a Sectional or State 4-H Presentation Day</p><p>Sectional: Section Name Category Dates </p><p>State: Category Dates _____ Served at least one term as a Club Executive Officer.</p><p>Club Name Role/Title Dates _____ Earned a Medalist or Winner classification in a State 4-H Record Book Competition Year(s)______</p><p>_____ Completed at least 100 hours of community service Please describe the most significant contribution you have made to your community through 4-H</p><p>_____ Attended a State Leadership Conference or Sectional Leadership Conference Year(s) </p><p>4 4-H California Diamond Clover Award Requirement Checklist Page 2 of 2</p><p>Applicant Name Supplemental Requirements: You must complete at least four (4) of these requirements. </p><p>_____ Served as a Teen Leader for 3 years and taken at least 10 projects (It is acceptable to list a project more than once for multiple years.)</p><p>Project Name Program Year Teen Leader? </p><p>_____ Served as a judge at a County, Multi-county or Sectional Presentation/Field Day OR State Field Day Name the event, dates and what you judged</p><p>_____ Served as a chair/co-chair of a Multi-County, Sectional or State Committee OR served as a chair/co-chair for a Sectional Event or Conference OR Serve on a State Committee Name the event or conference, dates and role you filled</p><p>_____ Served as a State Ambassador. Year ______Presented a workshop at State Leadership Conference or a Sectional Leadership Conference at least once Name the conference, title of your presentation, and dates</p><p>_____ Participated in a 4-H Sectional, State or National Citizenship Conference (e.g., CalFocus, Washington Focus, National 4-H Conference, etc.) Name the conference and dates</p><p>_____ Served as a guest speaker at State Leadership Conference or any Sectional Conference or Forum Name the event, speaking topic and dates ______Served a term as a youth representative on a Sectional Council Section______Year______</p><p>5 4-H California Diamond Clover Award Signature Page</p><p>Signatures of Endorsement: 1. 4-H Youth Development Staff I have reviewed this application for completion and can confirm that this candidate is currently enrolled in 4- H. </p><p>Printed Name:______Signature: Date Email: Daytime Phone: </p><p> Academic YDP Advisor  Program Rep.  County Director  Program Assistant</p><p>2. 4-H Community Club Leader--other than the parent (If the parent is the Community Club Leader, then a Project Leader who knows the scope of the member’s involvement, should sign this endorsement.) I have reviewed this application for completion and I endorse that this candidate has completed all of the requirements and is eligible to receive this award.</p><p>Printed Name:______Signature: Date Relationship to the Applicant: Email: Daytime Phone: </p><p>6</p>