Maryland 4-H All Stars Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The self-nomination period for this application will be annually from October 1st through December 31st. Once applications are received via Google Form submission, they will be forwarded to your county/city 4-H office contact or active county/city All Star Chapter for review.

The information you provide on this form will be used by the Maryland 4-H All Stars to determine your eligibility for acceptance, one of the highest recognitions that you as a 4-H member may receive in Maryland. It is an honor as well as a responsibility to be asked to join the Maryland 4-H All Stars. It is an opportunity to continue your involvement with 4-H and provide service as a 4-H All Star.

Submission of this application does not guarantee this self-nomination form will be accepted as a successful application. All applications are subject to approval by the local county/city 4-H All Star chapter and/or the MD 4-H All Star membership committee as outlined in the MD 4-H All Star Constitution and Bylaws.

County or City Name: *

Nominee's Name: *

(First and last of the person submitting the form)

Nominee's Address: *

(Street)

Nominee's Address: *

(City, State, and Zip Code)

Nominee's Contact Number: *

Nominee's Email Address: *

Are you currently or were you previously an active 4-H member? *

Yes

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms