NC 4-H Honor Club Member Contact Information
Thank you for updating your contact information in the NC 4-H Honor Club member directory! Please fill out the form below.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Note: If your name has changed since you were tapped, please see the next question.
Name at the time you were tapped, if different from above.
If your last name has changed since the time you were tapped, please list the name under which you were tapped as a 4-H'er.
E-mail Address *
Your e-mail address will be used for communication regarding Honor Club events and activities. (If you do not have an e-mail address, just enter "N/A."
Street Address *
City *
State *
Please type the two-letter abbreviation for your state.
Zip Code *
Mobile Phone Number *
If you do not own a cell phone, type "N/A."
Can Honor Club text you on your cell? *
Home Phone Number *
County Tapped *
Year Tapped into Honor Club *
County You Currently Reside In *
If the county you reside in is not in North Carolina, be sure to include the state as well.
Please tell us how you would like to receive Honor Club communications. *
Note: We strongly recommend receiving electronic communications. This option is more eco-friendly and helps cut down on the cost of communications, allowing us to provide more valuable opportunities for our members! Please only select the hard-copy option if you do not have e-mail, Facebook, or regular access to the internet. Thank you!
Do we have permission to include your contact information on a private directory, accessible only to other Honor Club members? *
This will allow you to get in contact with other Honor Club members!
Today's Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University. Report Abuse
Google Forms