Award/Trip Preference Form
I would like to be considered for the following opportunities. Please rank these in order of your preference for being awarded with 1 being highest, 6 being lowest. Number all that you are applying for.

COMPLETE THIS FORM BY AUGUST 31
Member Name (Last, First, Middle I)
The following awards and trips require you submit the Member Evaluation Form.
Clear selection
The following educational trips require specific applications:
Clear selection
I have already attended or received:
American Spirit, If so, what year?
Citizenship Washington Focus. If so, what year?
Marathon County Achievement Award. If so, what year?
National 4-H Congress. If so what year?
State 4-H Youth Conference. If so, what year?
Wisconsin 4-H Key Award. If so, what year?
Submit
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