4-H Youth Impact Stories
4-H knows that young people are leaders. Not in the future - now! That's why we're putting a spotlight on young people who are helping make life better during these challenging times - in ways both big and small! Fill out this form to tell us what you're doing - or want to do - to help your community.
This form should take about 5-10 minutes to complete. On a rolling basis, National 4-H Council will select youth to follow up with to tell their story on our Youth Voices page (
If you are filling out this form on behalf of a youth, please answer the questions to the best of your ability. You may also forward this form directly to youth, or input their written answers to the questions.
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Who is filling out this form?
Your Email Address
Your Phone Number
City or County & State of Youth Involved
Age(s) of youth involved
Answer the next two questions if form is not being completed by the youth.
Name of youth or youths involved
Email of lead or primary youth
4-H Leader Information
Answer the next two questions if form is not being completed by the 4-H Leader.
4-H Leader Name
4-H Leader Email Address
Answer the next two questions if form is not being completed by parent and the youth are under age 18.
Parent Email Address
Check the box below if you would like to opt-in to get the latest news from National 4-H Council and your State 4-H.
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