2019 4-H Member Graduation Form
"Graduation for 4-H members will be recognized as either high school graduation or the year in which membership is terminated due to age. In order to receive graduation recognition during the annual 4-H awards celebration (held during the Columbia County Fair), members and /or club's must alert the Columbia County Extension office by June 1st of the year in which they intend to graduate."
You have two options to RSVP for this event. You may, (1) complete the form, include a photo of yourself, and submit to the Columbia County Extension office OR you may (2) complete the form online and email a photo of yourself to Jennifer Evans (
). Due by June 1st, 2019.
No, I do not want to be recognized as a 4-H Graduating Member in 2019.
Yes, I do want to be recognized as a 4-H Graduation Member in 2019.
First and Last Name
Name of 4-H Club
Arlington Prairie Producers
Inch True Blues
Leeds Prairie Pals
South Columbus Willing Workers
Welsh Prairie Livewires
4-H Projects you have been enrolled in:
4-H Activities you have participated in:
What has been most beneficial about 4-H?
Your favorite 4-H memory:
What are your future plans?
Email a photo of yourself to Jennifer Evans (
) or stop by the Columbia County Extension office to drop it off. Due by July 15, 2019. ( DATE EXTENDED)
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This form was created inside of University of Wisconsin Cooperative Extension.