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2023-2024 Dakota/Rice County 4-H Agriculture Education Leader Application
4-H members who are in 6th grade and above in the 2023-24 school year may apply.
Applications due November 18, 2023.
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* Indicates required question
Email
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Your email
Name (first and last)
*
Your answer
Name(s) of parent/guardian(s)
*
Your answer
Parent/additional email address
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Your answer
2023-24 Grade
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Your answer
Shirt size
*
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Home address (including city, state and zip code)
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Your answer
Preferred phone number (cell, home, parent/guardian number)
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Your answer
Cell phone company (Ex - Verizon, T-Mobile, etc)
Your answer
Do you have access to Facebook?
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Yes
No
Maybe
My preferred methods of communication are:
Email
Text
Facebook group
Other
Number of years in 4-H
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Your answer
County
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Dakota
Rice
List your responsibilities at your local 4-H club level
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Your answer
What activities or events are you involved with at a county level? For example: Officer position, camp counselor, YTY, OST, etc.
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Your answer
What is your comfort level with agriculture? Tell us about your experience!
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Your answer
What excites you about being an Ag Ed leader and Why?
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Your answer
How do you envision utilizing this program being helpful for your future?
*
Your answer
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