<p> 2016-17 WEBSTER COUNTY 4-H HONOR AWARD APPLICATION MUST BE TURNED IN BY September 30, 2017</p><p>MEMBER’S NAME______AGE (as of Jan 1) ____</p><p>CLUB______How Many years as a member______</p><p>ONLY THE CURRENT YEAR POINTS COUNT. Current year starts October 1 and ends September 30 of the following year. No points may be accumulated from previous years! Please circle which one you are applying for.</p><p>CLOVER KID HONOR AWARD (ages 5 – 7) – Minimum of six items from club and county. Member five to7 years old as of January 1 of the current year enrolled. A Clover Kid Member must check six of the items, which includes the mandatory ones. Those qualifying will be award a 4-H t-shirt at Recognition Night.</p><p>JUNIOR HONOR AWARD MEMBER (ages 8 to 13) – Minimum of 12 items from club, county and district of which four must be under club and 4 under county. Eight to 13 years old as of January 1 of the current year. A Junior Member must be able to check 12, which includes the mandatory ones of the items to receive a t-shirt at Recognition Night. Must </p><p>SENIOR HONOR AWARD MEMBER (14 and over) – Minimum 18 items to receive a sweatshirt. Must be 14 years and older as of January 1 of the current year enrolled. A senior must be able to check 18 of the items listed, of which at least five from club, five from county and two under district and/or state, which includes the mandatory ones. Those qualifying will be award a sweatshirt at Recognition Night. CLUB _____*Attended at least 8 regular club meetings _____Gave a demonstration or illustrated talk _____*Can recite 4-H pledge and motto to leader ____*Know the 4-H colors _____Served as an officer or on a committee _____Took part in at least 2 special club activities (Not Council ones) such as: club Fundraising, club party, 1.______2.______Completed one or more projects. _____Participated in community service project such as highway pickup, nursing home, food pantry, etc. _____Enrolled and served as a Junior Leader – must have enrollment form on file _____**Turn in a 4-H Project Report Form ____ *Clover kids Project Report Form</p><p>COUNTY _____Attend 3 or more Leaders’ Council Meetings _____Attend Welcome Back to 4-H _____Oct Leader Council meeting – Pumpkin Patch Night _____Design and submitted Honor Award or camp T-shirt design _____Participated in National 4-H Week. How? ______Took part in COUNTY COUNCIL fundraiser(s) 1.______2.______Took part in a county recreational activity such as canoe/float trip, skating party, etc. This may be another clubs County activity. List ______**Participated in County Achievement Night activity such as: ( this only counts as one check) ______Fashion Revue _____Personal Appearance ______Public Speaking _____Member Judging ______Demonstrations _____Share-the-Fun ______Clover Kids Pet Show _____Live Demonstrations ______Showed Livestock _____Conference Judging/Exhibits _____**Exhibited a project in the 4-H Division Webster County Fair _____Exhibited Livestock at the Webster Co. Fair _____Work at Webster County Fair (What did you DO?)______Attend 2016 Recognition Night _____</p><p>*Mandatory for Clover Kid, Junior and Senior Member ** Mandatory for all members Page 2</p><p>DISTRICT</p><p>_____Participated in Regional Achievement Day _____Participated in Regional Horse Show _____Participated in Regional Share-the-Fun _____Participated in Regional Judging activity or bowl _____RATT Trip _____MOUSE Trip _____Showed or Exhibited at Ozark Empire Fair _____Demonstration at OEF _____Participated in 4-H Member/Teen or Clover Kids Camp (Member/counselor) _____Regional Teen Council representative/attend meetings _____North Fork Canoe Trash pick-up _____Bright & Bold/Making the Best Better _____Dairy Cow Camp _____Other District Level Activity (List) ______</p><p>STATE</p><p>_____Participated in State Fashion Revue, Public Speaking, Judging, Bowl or other State Contest _____Attended State 4-H Teen Conference _____Participated in State 4-H Horse Show _____Participated in State Dog Show _____Washington Focus/WOWS – Washington D.C. _____State 4-H Congress (Columbia) _____Kansas City 4-H Global Conference _____Missouri Citizenship Workshop (Jefferson City) _____Showed, Exhibited or Demonstrated at State Fair _____Submitted Missouri 4-H Recognition Form State Report Form _____State Bowl _____Other State Level Activity______</p><p>Clover Kids, juniors and seniors can only apply in their division.</p><p>Clover kids and juniors will receive t-shirts. Seniors will receive a sweatshirt. PLEASE MAKE SURE YOU CHECK THE SIZE YOU WANT. If you mark the incorrect size, it will be your responsibility and will not be exchanged at 4-H County expense.</p><p>Child Small______Youth Medium (size 10-12) ______Youth Large (size 14-16) ______</p><p>Adult Small______Adult Medium______Adult Large______Adult X-Large______</p><p>To the best of my knowledge, the information I have given is correct.</p><p>______Member’s Signature Parent’s Signature</p><p>______Leader’s Signature 4-H Personnel Signature</p><p>MUST BE TURNED IN BY September 30, 2017 - DEADLINE</p>