2017 Wisconsin's National 4-H Dairy Conference Delegate Application
Name of 4-H member
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Age as of January 1st of the current year
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Address
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City
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State
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Zip Code
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Phone Number
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Cell Phone Number
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Email Address
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County
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Number of Years in 4-H
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Number of Years in the Dairy Project
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Briefly list your involvement in what you consider important dairy activities during your 4-H career (dairy judging, cow camp, fairs & breed shows, demonstrations, judging, dairy bowl, etc.)
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Please list any county or state level awards that you have received in the dairy project area including 4-H, FFA and other dairy group awards. You may include awards from team events such as judging and quiz bowl.
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Please explain why you would be a good candidate to represent Wisconsin at the National 4-H Dairy Conference (200 words or less)
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To be considered as a delegate to this conference you must have your 4-H Dairy Project Leader or County 4-H Youth Development Agent write a letter of recommendation for you explaining why you should be considered as a delegate to the National 4-H Dairy Conference. This letter should be mailed or emailed to Kalyanna Williams. Did you ask one of these leaders to write a letter for you?
Please provide the name and email address of the leader or agent who will be writing your letter of recommendation.
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Type your name here to signify that this form was filled out by you, the youth who is applying to attend the National 4-H Dairy Conference, and not by any other person like a parent or 4-H leader
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