WI 4-H & Youth Conference Funding Application 2019
Email address *
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Preferred Email *
Your answer
Name of Parent or Guardian *
Your answer
Age (as of January 1, 2018) *
Your answer
Grade (as of January 1, 2019) *
Your answer
Club *
Please check any of the following trips that you have attended or awards you have received: *
Required
If you have received funding for any of the trips above, was it for this year? *
Identify why you want to attend WI 4-H & Youth Conference. *
Your answer
Explain what being a 4-H member means to you. *
Your answer
List the projects you are enrolled in and how many years you have been enrolled in the project. *
Your answer
4-H Leadership
Share your leadership roles and accomplishments in relation to 4-H. Please be concise. *
Your answer
Describe a leadership or teaching responsibility that you have had. Be sure to state the project or activity and what you have learned or how the experience has impacted you. *
Your answer
Other 4-H Activities Summary
List additional 4-H participation that is not reported elsewhere in this application (examples: Creative Arts Day, Project Discovery Day, etc.). Be sure to include the role of your participation and be concise. *
Your answer
Non 4-H Activities
List additional activities that you are involved in outside of 4-H. Be sure to include the role of your participation and be concise. *
Your answer
A copy of your responses will be emailed to the address you provided.
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