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2016 4-H Achievement Nomination Form
NOMINATION ARE DUE BY Thursday October 6, 2016. Please nominate your deserving 4-H'ers for the following Achievement Awards
4-H Project Awards
Please Select the award you are nominating an individual for.
Please Fill in name of nominee below with the award you are nominating them for from the above list.
Your answer
In the space provided below please tell us why you think this member deserves to be recognized for this award.
Your answer
Please fill in nominees name and award from list above:
This is for a 2nd nominee
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Please fill in nominees name and award from list above:
This is for a 3rd nominee
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Please fill in nominees name and award from list above:
This is for a 4th nominee
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
CLOVERSHIP AWARDS
Please Select the award you are nominating an individual for.
Please Fill in nominees name below
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Please fill in nominees name and award from list above:
This is for a 2nd nomination
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
MASTERY AWARDS
These awards are for Senior members 15 & up, who have taken on a leadership role beyond the local level.
Please Fill in nominees name below
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Please fill in nominees name and award from list above:
This is for a 2nd nomination
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Special Awards:
Please Fill in nominees name below
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Please fill in nominees name and award from list above:
This is for a 2nd nomination
Your answer
Please describe why you are nominating this individual for this award in the space below.
Your answer
Name of person filling out this form *
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Contact information for the person filling out the form *
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