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Please check awards you are applying for and provide information needed.
_____All Star—Form required
_____Super All Star—Form required, must have previously won All Star
_____Outstanding Fair Exhibitor—Form required
_____Outstanding Local Club Member—Form required
_____Sparkling Clover—Nomination Form required
_____Club of the Month—Leader Form required
_____Dairy Presentation_____Team_____Individual—Form required
_____Peanut Presentation_____Team_____Individual—Form required
_____Pork Promotion—Form required
_____Water Conservation—Form required
_____Bread Award—Form required
The Breads Presentation Awards are sponsored by the Shawnee Milling Company. The Shawnee Milling Company, located in Shawnee, Okla-homa, encourages an interest in bread making and the nutritional im-pact of bread in our daily lives. Shawnee Milling offers special awards for those individuals who participate in demonstrations, illustrated or regular speeches, making bread or promoting the way bread products are needed nutritionally in our daily lives.
_____Jr. _____Sr. _____Team _____Individual
Competitions where you have promoted Breads
Other Areas of Bread Promotion
Please include date and location
The Dairy Presentation Award is sponsored by the Southwest Dairy Center. This award recognizes 4-H members who present information and educate the public about the benefits of dairy products and the in-dustry.
_____Team _____Individual
Competitions where you have promoted dairy products or industry
Other Areas of Promotion
Please include date and location
The Oklahoma Peanut Commission recognizes outstanding 4-H mem-bers who have presented a peanut promotion program through speech-es, demonstrations or educational displays to 4-H and non 4-H audienc-es. The emphasis of the program is to promote the greater use of Okla-homa grown peanuts including peanuts as a food product and the pro-duction of peanuts.
Competitions where you have promoted peanuts
Other Areas of Peanut Promotion
Please include date and location
The Oklahoma Pork Council recognizes outstanding 4-H members who have presented a pork promotion program through speeches or demon-strations to 4-H and non 4-H audiences. The emphasis of the programs included pork as a food product and not merely the production of pork.
Competitions where you have promoted pork or pork production
Other Areas of Pork Promotion
Please include date and location
A special award is given to 4-H’ers who present demonstrations, speeches, illustrated presentations and regular talks on water conserva-tion, including the benefits, dangers of lack of conservation and ways of conserving water for human and animal life.
Competitions where you have promoted water conservation
Other Areas of Water Conservation Promotion
Please include date and location
Name________________________________________Age:_______
Addres:_____________________________ City:___________Zip___________
Local Club Leader:__________________________Date Submitted:__________
Category:______Jr. (4th-6th Grade) _____Intermediate (7th-9th Grade) _____Sr. (10th-12th Grade)
1. Project Area in which enrolled: (Name only three) (Ex. Poster, fair exhibit, speech, demo)
A.______________________ Project completed___________________________
B.______________________ Project completed___________________________
C.______________________ Project completed___________________________
2. County Fair Exhibits: Number_______
3. State Fair Exhibits: Number______
4. Participation in County Contest: 4 entries required
Event entered 1.____________________________ 5.______________________
2.____________________________ 6.______________________
3. ___________________________ 7.______________________
4.___________________________ 8.______________________
5. Given one 4-H demonstration /speech and or workshop in local club:
Subject___________________________________Date_____________________
Subject___________________________________Date_____________________
6. 4-H Record Book Submitted: ______Yes _____No
7. Recruited Club Member: Name_________________________
Member Signature______________________________________
Volunteer Leader Signature_______________________________
NAME OF AWARD: 4-H All Star
PURPOSE: To encourage club members to participate in a variety of local and club activities.
ELIGIBILITY: All 4-H members who have completed a full year of 4-H work are eligible.
MATERIAL REQUIRED: Application Sheet. All requirements must be completed.
DUE DATE: This form is due at the time Record Books are due. .
RULES: A form must be completed by the member and signed by a non- parent 4-H leader. Jr., Intermediate and Sr. categories are pro
vided. All Star may be won once while in each category.
SELECTION BY: Review of forms to assure completion. Contacts may be made with local leaders to confirm activities. There is no limit in the number of All Stars per club.
JUDGING CRITERIA: All items must be completed in order to be awarded the 4-H All Star Award.
Revised 6-10
Name________________________________________Age:_______
Addres:_____________________________ City:___________Zip___________
Category:______Jr. (4th-6th Grade)
_____Intermediate (7th-9th Grade) _____Sr. (10th-12th Grade)
Local Club Leader:__________________________Date Submitted:__________
1. Project Area in which enrolled: (Name only three) (Ex. Poster, fair exhibit, speech, demo)
A.______________________ Project completed___________________________
B.______________________ Project completed___________________________
C.______________________ Project completed___________________________
2. County Fair Exhibits: Number_______
3. State Fair Exhibits: Number______
4. Participation in County Contest: 4 entries required
Event entered 1.____________________________ 5.______________________
2.____________________________
6.______________________
3. ___________________________ 7.______________________
4.___________________________ 8.______________________
5. Given one 4-H demonstration /speech and or workshop in local club:
Subject___________________________________Date_____________________
Subject___________________________________Date_____________________
6. 4-H Record Book Submitted: ______Yes
_____No
7. Recruited (3) Club Members: Name 1. _________________________ 2._______________________
3.__________________________
8. Attended _____Youth Action Conference ______State Round Up (Int. & Sr. Members only)
Member Signature__________________________
Volunteer Leader Signature__________________________
*Super All Stars must have previously won All Star Award. Date Awarded_________________
NAME OF AWARD: 4-H Super All Star (All Star must be won first.) PURPOSE: To encourage members who have received All Star and are still in the same age group. ELIGIBILITY: All 4-H members who have been awarded the All Star award within their age group. MATERIAL REQUIRED: Super All Star Application Sheet. All requirements must be completed. DUE DATE: This form is due at the time Record Books are due. . RULES: Must have won Jr. All Star previously to be eligible for Jr. Super All Star. Must have won Intermediate All Star previously to be eligible for Intermediate Super All Star. Sr. member must win Sr. All Star before being eligible for Sr. Super All Star. SELECTION BY: Completed application sheet reviewed by Extension 4-H Staff. Form must be signed by non-parent leader. Leader may be con- tacted to confirm activities. There is no limit in the number of Su per All Stars per club. JUDGING CRITERIA: All items must be completed in order to be awarded the 4-H Super All Star Award. Revised 6-10
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OUTSTANDING BEGINNER (4TH-6TH GRADE), INTERMEDIATE (7TH-9TH GRADE) AND SENIOR (10TH – 12TH GRADE) 4-H FAIR EXHIBITOR
(Grade as of January 1st of the current year.)
Grand Champion Outstanding Sr. and Intermediate Fair Exhibitor plaques will be awarded to the two highest scoring Sr. and Intermediate 4-H members. They must exhibit in at least five (5) different project areas to be eligible.
Grand Champion Outstanding Beginner Fair Exhibitor plaques will be awarded to the two highest scoring Jr. 4-H members. They must exhibit in at least three (3) different project exhibit areas to be eligible. This year’s Outstanding Beginner, Intermediate and Senior Exhibitors will be selected in the following manner.
1. For each of the following projects for which a 4-H member has an exhibit, they will receive 20 points regardless of the placing on that exhibit. • *Beef Fabrics & Fashions Wildlife • *Swine Home/Personal Space Fish • *Sheep Babysitting/Child Care Bird • *Goats Food Science & Nutrition Wildflower • *Horse Personal Development Environmental Stewardship • *Poultry Postmarks Crops • Poster Art Electric Forage Grasses & Forbes • Educational Display Rocketry Horticulture • Photography Wood Science & Ind. Arts Home Grounds • Expressive Arts Shooting Sports Home Gardening • Science & Technology Entomology Terrarium & Dish Garden • Science Discovery Forestry Companion Animal ● Robotics Geology Hobbies & Collectables ● Record Book
2. Points will be awarded for placings on the following basis: (In addition to the 20 points for exhibiting)
1st place – 6 points 4th place – 3 points 2nd place – 5 points 5th place – 2 points 3rd place – 4 points 5th -10th place – 1 point
3. A Beginner exhibitor must exhibit in at least three (3) project areas to be considered. Sr. and
Intermediate Exhibitors must exhibit in at least five (5) project areas to be considered. 4. Group exhibit points will be divided equally. 5. Only Open Class exhibits marked (*) will be eligible. All other exhibits should be in 4-H. 6. The attached form is limited to five exhibits per project area. Please choose and record your five
highest placing exhibits (if you have more than five).
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OUTSTANDING BEGINNER, INTERMEDIATE & SENIOR 4-H FAIR EXHIBITOR FORM (Age division should be the GRADE IN AS OF JANUARY 1ST OF THE CURRENT YEAR, not the grade you will be in the fall since the Fair is the completion of the last year’s 4-H work. NAME_____________________________________________ CLUB_______________________ Check the grade you were as of January 1 of the current year: ____4th – 6th grade ____7th-9th grade ____10th -12th grade List each exhibit and give placing (list even if you didn’t place) below the proper project exhibit heading. List Each Exhibit Placing Points
1. Beef 1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
2. Swine
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
3. Sheep
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
4. Goats
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
5. Horse
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
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6. Poultry
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
7. Poster Art
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______
8. Educational Display
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______
9. Photography
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
10. Expressive Arts
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
11. Science & Technology
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
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12. Science Discovery
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
13. Robotics
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
14. Fabrics & Fashions
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
15. Home/Personal Space
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
16. Babysitting/Child Care
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
17. Food Science & Nutrition
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
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18. Personal Development
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
19. Postmarks
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
20. Electric
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
21. Rocketry
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
22. Wood Science & Industrial Arts
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
23. Shooting Sports
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
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24. Entomology
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
25. Forestry
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
26. Geology
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
27. Wildlife
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
28. Fish
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
29. Bird
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
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30. Wildflower
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
31. Environmental Stewardship
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
32. Crops
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
33. Forage Grasses & Forbes
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
34. Horticulture
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
35. Home Grounds
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
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36. Home Gardening 1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
37. Terrarium & Dish Garden
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
38. Companion Animal
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
39. Hobbies & Collectables
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
40. Record Book
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
41. Other
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______ 6._______________________________ ________ ______
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42. State Fair Exhibits
1._______________________________ ________ ______ 2._______________________________ ________ ______ 3._______________________________ ________ ______ 4._______________________________ ________ ______ 5._______________________________ ________ ______
This area shall be completed by Extension Educators/Judge Number of Project Areas Entered In: _____ X 20 pts. __________ Score for Page Three __________ Score for Page Four __________ Score for Page Five __________ Score for Page Six __________ Score for Page Seven __________ Score for Page Eight __________ Score for Page Nine __________ Score for State Fair Exhibits __________ TOTAL __________ Revised 9-12
Name of Member_____________________________Club________________________ Category:______Jr. (4th-6th Grade) _____Intermediate (7th-9th Grade) _____Sr. (10th-12th Grade) Attended County Sumer Camp –July (5pts.) _________ Projects entered in fair last fall (2 pts. Ea. (10 pts. Max.) 1.____________________________ __________ 2.____________________________ __________ 3.____________________________ __________ 4.____________________________ __________ 5.____________________________ __________ Livestock Judging during Fair (2 pts.) __________ Livestock Judging (Spring) __________
Farmhand Olympics (2 pts.) __________ Grass ID Contest (2 pts.) __________ Local Club Activities (5 pts ea.) ( 20 pts. Max.) Presented demonstration or talk __________ Served on local committee __________________ __________ Held local office_________________ __________ Citizenship Activity __________ Sr. Members list leadership activities for the past year (2 pts. Ea.) (10 pts. Max.) Leadership activities consist of county office held, committees, workshops conducted, project meeting held, camp counselor, etc. 1. ______________________________________6.__________________________________ 2._______________________________________ 7.__________________________________ 3._______________________________________ 8.__________________________________ 4._______________________________________ 9.__________________________________ 5._______________________________________ 10.__________________________________ Total Points __________ Parent’s Signature____________________________ Leader’s Signature___________________________ Due into the Stephens County Extension Office with Junior Record Books in June. (Revised 6-10)
County Contest and Activities (2 pts. Ea.) (22 pts. Max.) Pumpkin Contest __________
Cookoff __________
Share-the-Fun __________
Speech __________
Demonstration __________
Poster __________
Photo __________
Impressive Dress __________
Fashion Revue __________
Shooting Sports __________
Livestock Show Project __________
Job Readiness __________
Citizenship Project (5 pts.) __________
This nomination is given at the local club level to a 4-H’er whose clover has out-sparkled everyone else showing their 4-H spirit. They may have sparkled in a quiet way by helping out another 4-H member who was struggling or in a very public way leading their club in an activity, or pumping up enthusiasm about upcoming 4-H events. A per-son nominated for this award should exemplify what 4-H stands for by using their Head for clearer thinking, their heart for greater loyalty, their hands for larger service and their health for better living.
It should be someone who is always working “To Make The Best Better”. Up to 4 members over the 4-H year may be nominated from each club. Those nominees will be judged with all other county nominees for the Sparkling Clover award given at the annual Achievement Banquet. One Junior, One Intermediate and One Senior will be chosen on the County level.
Junior (4-6th grade) Intermediate (7-9th grade) Senior (10-12th grade)
Nomination Forms due: With Record Books in June.
Revised 6-10
Name ___________________________________________AGE__________ Club__________________________________________________________ Date__________________________________________________________ Nomination Made by____________________________________________ Why this person was nominated________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
List number of members in club _________ Points Possible Points Received 1. Minutes Read 5 _________ 2. Speeches or Demos 10 each _________ (Maximum of four) Title Members Name _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ 3. Song 5 _________ 4. Game 5 _________ 5. Committee Meetings (Max 5) 5 each Name of Committee Chairperson _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ 6. Committee Reports (Max 5) Name of Report Chairperson _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ _______________________ ____________________ _________ Page One Total _________
Name of Club_________________ Month Submitted______________
7. Did you do a community service project as a club? If so, provide a brief description below. How many members participated? _________ Description____________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (25 points maximum) __________ 8. Did you participate in county 4-H contests or activities? Name of activities_________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ How many members participated? _________ (20 points maximum) ___________ Members Recruited +5 each ___________ Members Dropped (unless member -5 each ___________ has moved) Page two total ___________ Page one total ___________ GRAND TOTAL (to be added by the Extension Office) ____________ Revised 6-10
The Club of the Month is a score sheet that is used to determine the Club of the Year Award. The Club of the Year award is presented to one county club at the annual awards banquet. To be eligible for the Club of the Year award a club must submit an minimum of 6 Club of the Month score sheets. Copies may be made of the score sheet. All score sheets are due with June record books.
Nomination Form Friend Of 4-H Award
Fill in information regarding nominee of the Friend of 4-H Award
Background Information: Name: Address: (street, route, box) (city) (zip) Occupation: Years of 4-H Support: Major areas of support for Stephens County 4-H by this nominee: Submitted By: Phone:
Nomination Form Lifetime Donor Achievement Award
Fill in information regarding nominee of the Lifetime Achievement Award
Background Information: Name: Address: (street, route, box) (city) (zip) Occupation: Years of 4-H Support: Major areas of support for Stephens County 4-H by this nominee: Submitted By: Phone:
Nomination Form for Lifetime Volunteer Award
Fill in information regarding nominee of the Lifetime Volunteer Award
Background Information: Name: Address: (street, route, box) (city) (zip) Occupation: Years of 4-H Support: Major Leadership Activities of the Nominee: Other Information Pertinent to this Award: Submitted By: Phone:
Nomination Form for Outstanding Volunteer of the Year
Fill in information regarding nominee of the Outstanding Volunteer of the Year Award
Background Information: Name: Address: (street, route, box) (city) (zip) Occupation: Years of 4-H Support: Major Leadership Activities of the Nominee: Other Information Pertinent to this Award: Submitted By: Phone:
