BRICE BENDER 4-H YOUTH MEMORIAL AWARD APPLICATION
This is an award for outstanding 4-H work during the past year.

Two awards will be presented: (1) in Grades K-7, (1) Grades 8-13

The award will be a cash voucher that can be used to pay for a 4-H activity at the club, county, state or national level. (Example: WI 4-H & Youth Conference, Leadership Washington Focus, Citizenship Washington Focus, Junior and Intermediate Camps, etc.)

COMPLETE THIS FORM BY AUGUST 31
Nominee Name (Last, First, Middle I)
Name of 4-H Club
Number of Years in 4-H
Grade
Nominating Leader's Name
Rate this member as follows
Excellent
Good
Average
Attitude toward 4-H
Cooperation with leader
Work done for club
Quality of project work
Work on county level
Clear selection
Comments
Next Section To Be Filled out by Nominee (Member)
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