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Oakland County Awards/Scholarships

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Michigan State University Extension<br />

4-H Youth Development<br />

<strong>Oakland</strong> <strong>County</strong><br />

<strong>Awards</strong> & <strong>Scholarships</strong><br />

This handbook can be found on the 4-H Youth Development section of the <strong>Oakland</strong> <strong>County</strong> MSUE website at<br />

www.oakgov.com/msu


Page 2<br />

TABLE OF CONTENTS<br />

How to Complete Award Application ······················································ 3<br />

Award Summary ·············································································· 4<br />

All Star Award ················································································· 6<br />

<strong>County</strong> Medals ················································································ 9<br />

4-H Club Community Service Recognition ··············································· 13<br />

“I Dare You” Leadership Award ···························································· 17<br />

Michigan 4-H Key Club Award ····························································· 21<br />

<strong>Oakland</strong> <strong>County</strong> Farm Bureau Scholarship ················································ 27<br />

Friend of 4-H Award ·········································································· 33<br />

<strong>Oakland</strong> <strong>County</strong> 4-H Club Thank You ····················································· 35<br />

MSU <strong>Oakland</strong> Alumni Scholarship ························································· 41<br />

My Club, My Community, My Country & My World 4-H Award ····················· 43


Page 3<br />

HOW TO COMPLETE AWARDS APPLICATIONS<br />

1. Photocopy application—use one for a rough draft, one to be turned in. It is a good idea to make a copy<br />

of the completed application for your records.<br />

2. Read directions and entire application twice before beginning.<br />

3. Please type or print neatly.<br />

4. Use the member record book, computer, and/or calendars to help you fill out the application.<br />

5. Be brief and to the point. Do not add pages unless indicated. When it is necessary to add a page, be<br />

sure to use 8 1/2” x 11” paper. Do not repeat things several times on the application.<br />

6. Double check for misspelled words, poor grammar, and incomplete sentences.<br />

7. If your parent is the club leader, have another adult leader sign the application and write the letter of<br />

recommendation.<br />

8. Be sure the application has proper signatures. All applications must be filled out by participant as noted<br />

in the <strong>Awards</strong> Handbook.<br />

9. All applications must be postmarked or in the <strong>Oakland</strong> <strong>County</strong> 4-H office by the due date.<br />

10. If called for a personal interview, please dress neatly and do not chew gum, candy, etc.<br />

11. Send all applications to:<br />

MSU Extension—<strong>Oakland</strong> <strong>County</strong><br />

4-H Youth Development<br />

North Office Bldg.—26E<br />

1200 N. Telegraph Rd.<br />

Pontiac, Michigan 48341-0416


Page 4<br />

AWARDS SUMMARY<br />

OAKLAND COUNTY FAIR SCHOLARSHIP:<br />

Due with fair entry form<br />

There is a scholarship available from the <strong>Oakland</strong> <strong>County</strong> 4-H Fair Association. For more<br />

details, please call the Fair Office at 248.634.8830.<br />

OAKLAND COUNTY FARM BUREAU SCHOLARSHIP:<br />

Deadline May 1<br />

The <strong>Oakland</strong> <strong>County</strong> Farm Bureau offers a $500 college scholarship to two <strong>Oakland</strong><br />

<strong>County</strong> 4-H youth planning to pursue an agricultural-related career.<br />

ALL STAR AWARD:<br />

Deadline August 15<br />

Designed to recognize young or new club members who are not being recognized for other<br />

awards.<br />

COUNTY MEDALS:<br />

Deadline August 15<br />

Designed to recognize outstanding work in all project areas (ages 11-19).<br />

4-H CLUB COMMUNITY SERVICE RECOGNITION:<br />

Deadline August 15<br />

This recognition was created to honor the clubs who have participated in outstanding<br />

service projects in the current program year.<br />

“I DARE YOU” LEADERSHIP AWARD:<br />

Deadline August 15<br />

Designed to recognize a high school junior or senior who has demonstrated leadership<br />

potential and growth in character and personal development. Recommendation from your<br />

teacher or leader must be included with the application.<br />

MICHIGAN 4-H KEY CLUB AWARD:<br />

Deadline August 15<br />

Recognizes outstanding project achievement; individual serves as county resource person<br />

& project ambassador (ages 14-19).<br />

FRIEND OF 4-H AWARD:<br />

Deadline August 15<br />

Recognizes non-4-H individuals and organizations for their recurring support for the total<br />

county 4-H program (financial or services).


OAKLAND COUNTY 4-H CLUB THANK YOU:<br />

Deadline August 15<br />

This award is designed to give 4-H clubs the opportunity to recognize persons, businesses,<br />

or organizations that have been especially helpful to their 4-H club. Selections will be<br />

based on contributions to the development of your club.<br />

MSUE—OAKLAND COUNTY MSU ALUMNI SCHOLARSHIP:<br />

Deadline March 20<br />

The scholarships are available to <strong>Oakland</strong> <strong>County</strong> high school seniors. These seniors must<br />

have been accepted to study at Michigan State University and are planning to attend MSU<br />

for the 2012/2013 academic year.<br />

MY CLUB, MY COMMUNITY, MY COUNTRY & MY WORLD 4-H AWARD<br />

Deadline August 15<br />

This club award is designed to recognize excellent club programming in <strong>Oakland</strong> <strong>County</strong>.<br />

Members are encouraged to participate in Club, <strong>County</strong>, State, and National Events and<br />

International Exchange Programs. <strong>Awards</strong> will be made based on the completeness of the<br />

application. If club only participates in the county level, the awards will reflect that. Then<br />

if the club adds State and National levels later, those portions of the award will be given at<br />

the next Recognition event.<br />

Page 5


Page 6<br />

ALL STAR AWARD<br />

INSTRUCTIONS<br />

About the All Star Award:<br />

This award is an introduction to the <strong>County</strong> 4-H <strong>Awards</strong> Program. The award is presented at the<br />

Annual <strong>Oakland</strong> <strong>County</strong> awards event which is held in October.<br />

The All Star awardees will receive a patch, a commendation letter from his/her county<br />

commissioner, a letter from <strong>County</strong> Executive L. Brooks Patterson, a letter from <strong>Oakland</strong> <strong>County</strong> Farm<br />

Bureau, and an All Star certificate.<br />

1. Selection is made by either the leader or by vote of the club members. Consider such qualities as<br />

willingness to help others, the ability to learn and share skills and the growth of the person as a result<br />

of their previous 4-H experiences.<br />

2. Each club should be represented by two awardees.<br />

3. Eligibility is not dependent upon age or length of enrollment<br />

4. Those members who are ineligible for this All Star Award are: those youth being recognized for<br />

<strong>County</strong> Medals, State <strong>Awards</strong>, Key Participants, “I Dare You” recipients, as well as other state event<br />

winners, or other special honorees who will automatically be invited.<br />

5. Can only participate as an All Star in the county<br />

SPECIAL REQUIREMENTS<br />

Please include a color photo of the nominated individuals in action with a brief synopsis of their<br />

participation. (Photos will be returned)


4-H ALL STAR NOMINATION<br />

Page 7<br />

Club Name: __________________________________________________________________________<br />

General Leader: _______________________________________________ Phone: _________________<br />

ALL STAR #1<br />

Name: _______________________________________________________________________________<br />

Address: _____________________________________________________________________________<br />

Phone: _________________________________________________________ Age: _________________<br />

E-mail Address: _______________________________________________________________________<br />

Briefly describe activities of All Star #1:<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

ALL STAR #2<br />

Name: _______________________________________________________________________________<br />

Address: _____________________________________________________________________________<br />

Phone: _________________________________________________________ Age: _________________<br />

E-mail Address: _______________________________________________________________________<br />

Briefly describe activities of All Star #2:<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

** Please email or send form to Sue Stapleton (staple25@msu.edu)<br />

**Pictures may be emailed to Jason Scott at jscott@msu.edu<br />

Pictures enclosed: ____ YES ____ NO (please include identification on back of picture)<br />

Who can be contacted if more information is needed?<br />

Name: __________________________________________________ Phone: ______________________<br />

Due in MSU Extension 4-H Youth Development Office: August 15


Page 8


Page 9<br />

COUNTY MEDALS<br />

WHAT IS A COUNTY MEDAL?<br />

A <strong>County</strong> Medal is a form of recognition awarded to a 4-H member for outstanding project work. You<br />

may receive an award more than once, but will receive only one medal. Each 4-H Member may apply for<br />

two <strong>County</strong> Medals every year. A separate application must be filled out for each one. Applications must<br />

be completely filled out by the 4-H member.<br />

WHAT ARE THE REQUIREMENTS FOR APPLYING FOR COUNTY MEDALS?<br />

A 4-H member must be 11 to 19 years old by January 1 of current year. A member must have completed<br />

one year in the project. <strong>County</strong> Medal forms are due in the 4-H office before August 15.<br />

DIRECTIONS FOR FILLING OUT APPLICATION<br />

PART A—ACTIVITIES<br />

List all activities in which you have participated relating to the <strong>County</strong> Medal for which you are applying.<br />

Application should be typed or printed in ink on 8 1/2” x 11” paper. Examples of Activities: Demonstrations,<br />

Displays, Committees, Offices Held, Fair Participation, Leadership Experiences, Participation in<br />

Club Activities, etc.<br />

PART B—AWARDS & RECOGNITION<br />

List all the awards you have won on three levels:<br />

1. Club—example: Community Shows, Club <strong>Awards</strong><br />

2. <strong>County</strong>—example: Personal Appearance, Style Revue<br />

3. State—example: Horticulture, Animal Science Shows, Horse Shows<br />

PART C—BRIEFLY STATE HOW THIS PROJECT RELATES TO YOUR PERSONAL GROWTH<br />

AND DEVELOPMENT<br />

Example:<br />

Explain how this project has become part of your home life? How it has helped you with any of your classes<br />

at school?


Page 10<br />

2013 <strong>County</strong> 4-H Award Areas<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Achievement<br />

Agriculture<br />

Beef<br />

Citizenship<br />

Clothing and Textiles (including Style Review)<br />

Communications<br />

Community Service<br />

Companion Animals (cats, pocket pets, fish, reptiles, etc.)<br />

Dairy Cattle<br />

Dogs<br />

Entomology<br />

Environmental & Outdoor Education<br />

Folkpatterns<br />

Food<br />

Global & Cultural Heritage<br />

Goats<br />

Horses<br />

Horticulture/Crops<br />

Leadership<br />

Leisure Education<br />

Llama (including alpaca)<br />

Performing Arts (including clowning)<br />

Photography<br />

Poultry<br />

Rabbits & Cavies<br />

Science and Technology (including computers, electrical, small engines, automotive, tractors, etc.)<br />

Sheep<br />

Shooting Sports<br />

Swine<br />

Veterinary Science<br />

Visual Arts (formerly Crafts & Woodworking, Fine Arts)


COUNTY MEDAL APPLICATION<br />

Page 11<br />

<strong>County</strong> Medal applying for:<br />

Name:<br />

Address:<br />

City:<br />

Phone:<br />

E-mail address:<br />

4-H Leader signature:<br />

Registered 4-H Club:<br />

Zip:<br />

Years in project:<br />

Member’s age (as of Jan. 1 of program year):<br />

Number of years in 4-H:<br />

Date of birth:<br />

A. ACTIVITIES (relating only to <strong>County</strong> Medal for which you are applying—additional sheets may be<br />

attached) Give examples: meetings attended, demonstrations, petting zoo, mentoring, teaching, workshop,<br />

clinics, committee involvement, offices (leadership position) entrepreneurship.<br />

B. 4-H AWARDS <strong>Awards</strong> may include pins, certificates, ribbons, etc. If you have not received any<br />

awards please fill in the blanks with “NO AWARDS”. List year award was received.<br />

CLUB FAIR COUNTY STATE


Page 12<br />

COUNTY MEDAL APPLICATION<br />

(CONTINUED)<br />

C. Briefly describe ways in which this project relates to your personal growth and development<br />

Signature of Applicant:<br />

Date:<br />

Due in the MSU Extension 4-H Youth Development Office: August 15


Page 13<br />

4-H CLUB COMMUNITY SERVICE AWARD<br />

Community Service is working to satisfy community needs on a volunteer basis. Registered 4-H Clubs<br />

and other volunteers often join in community-based activities to help communities and other groups<br />

accomplish seemingly impossible tasks. 4-H members donate many hours in many different ways to help<br />

make their neighborhoods and communities a better place to live.<br />

Complete the 4-H Club Community Service Nomination Form and submit to the <strong>Oakland</strong> <strong>County</strong> 4-H<br />

Office by August 15.


Page 14


Page 15<br />

4-H CLUB COMMUNITY SERVICE NOMINATION FORM<br />

Registered 4-H Club:<br />

Youth Representative:<br />

Club Leader Signature:<br />

Address:<br />

Phone:<br />

Email:<br />

List your club community service projects for this year:<br />

______<br />

______<br />

Choose one project for the following questions:<br />

How many 4-H members participated in Club Community Service this year?<br />

How many 4-H adult volunteers participated?<br />

How many people benefited from this service?<br />

Who were they?<br />

Approximately how many hours did your club spend on this project (example” if 15 youth each spent 3<br />

hours, the total would be 45 hours)?<br />

What did the 4-H members learn by doing this? (List comments from three club members)<br />

Please return this form by August 15 to:<br />

MSU Extension—<strong>Oakland</strong> <strong>County</strong><br />

4-H Youth Development<br />

North Office Bldg.—26E<br />

1200 N. Telegraph Road<br />

Pontiac, Michigan 48341-0416


Page 16


THE “I DARE YOU” LEADERSHIP AWARD<br />

Page 17<br />

BACKGROUND<br />

Mr. William H. Danforth’s book, “I Dare You”, was first published in 1941. It is still considered one of<br />

the most influential books in the general area of personal motivation. Now in its 29th printing, the book is<br />

published and distributed by the American Youth Foundation through it’s “I Dare You” Committee.<br />

Mr. Danforth, founder of the Ralston Purina Company and one of the founders of the American Youth<br />

Foundation, dedicated much of his time and philanthropy to youth work. Through the urging of friends,<br />

he started granting the “I Dare You” <strong>Awards</strong> to outstanding youth in high schools and the 4-H organization<br />

over sixty years ago.<br />

The American Youth Foundation, founded in 1924, is a non-profit organization dedicated to providing<br />

programs for youth. The aim of the foundation is the discovery and enhancement of leadership skills and<br />

the promotion of balanced growth and development.<br />

INVITATIONS<br />

Each year every high school in the Unites States is offered, by letter, the opportunity to nominate two students<br />

in their junior or senior year for recognition. In addition, every county 4-H Extension Educator is<br />

contacted by letter seeking nomination of outstanding 4-H youth for recognition.<br />

Many schools and counties have participated every year. All are invited regardless of past participation.<br />

THE AWARD<br />

The “I Dare You” Leadership Award is not a contest or a competition of any kind. Each high school principal<br />

or headmaster and each <strong>County</strong> 4-H Extension Educator is asked to select (or have a staff or committee<br />

select) the nominees. The Award is offered as recognition of excellence in character and wellbalanced<br />

personal development, as well as demonstrated qualities of constructive leadership. The application<br />

should be completed by a leader (other than parent) or a teacher.<br />

The selected applicants will receive a copy of the book “I Dare You”, a personalized certificate, and are<br />

eligible for a partial scholarship to attend the American Youth Foundation National Leadership Conference<br />

at Camp Miniwanca, MI. This Award is presented at the All Star Review.


Page 18


THE “I DARE YOU” LEADERSHIP AWARD<br />

(Must be a High School Junior or Senior)<br />

Page 19<br />

Name of nominee<br />

Phone<br />

Street address City Zip<br />

This nominee is a: junior senior in high school.<br />

Comments on leadership qualites, academic achievements, athletic or physical activities, school or community<br />

involvement, general character, integrity, etc., which were considered in making this selection:<br />

Recommended by:<br />

Title/Position:<br />

Street address: City: Zip:<br />

Phone:<br />

Date:


Page 20


Page 21<br />

MICHIGAN 4-H KEY CLUB AWARD<br />

The Michigan 4-H Key Club Award is form of recognition awarded to a 4-H member for outstanding project<br />

work. The recipient must be willing to serve as a county resource person in the project area of expertise;<br />

assist with the promotion, organization, and operation of countywide activities; and serve as an ambassador<br />

for the local 4-H program. Each 4-H member may apply for the Michigan 4-H Key Club Award<br />

in up to two project areas per year. Each member may receive the award more than once, but will only<br />

receive one piece of Key Club jewelry per year.


Page 22


Page 23<br />

MICHIGAN 4-H KEY CLUB AWARD APPLICATION<br />

(Please Print) Date Submitted: / /<br />

Name:<br />

First Middle Last<br />

Address: City: Zip:<br />

Date of Birth _____/_____/______ Name of Parent or Guardian:<br />

Grade in School:<br />

Project Area #1 #2<br />

BASIC REQUIREMENTS:<br />

A 4-H member is eligible who has:<br />

Reached 15 years of age by January 1st<br />

Completed three (3) calendar years of project work as of January 1 of the current year<br />

Completed 4-H projects in at least two project areas<br />

Participate in three (3) 4-H club events other than club events in your award area<br />

Been recommended by your local leader<br />

Due in the MSU Extension 4-H Youth Development Office: August 15


Page 24<br />

MICHIGAN 4-H KEY CLUB AWARD APPLICATION<br />

(CONTINUED)<br />

1. List in chronological order the 4-H activities you have participated in relating to this project area for<br />

the last three (3) years (20 points)<br />

2. List at least ten 4-H activities from two other project areas in which you are involved (20 points)


Page 25<br />

MICHIGAN 4-H KEY CLUB AWARD APPLICATION<br />

(CONTINUED)<br />

3. List at least three (3) 4-H Activities other than your club activities (i.e. county events, national event,<br />

state events, etc…) (fair is not a 4-H activity)(20 points)<br />

4. Write a brief statement on how you have benefited from your 4-H program. (20 points)<br />

5. Write a brief statement of what you have done to help others in 4-H work. (20 points)<br />

Date:<br />

Signed:<br />

Member<br />

Date:<br />

Signed:<br />

Approved by 4-H Leader


Page 26


Page 27<br />

OAKLAND COUNTY FARM BUREAU SCHOLARSHIP<br />

The <strong>Oakland</strong> <strong>County</strong> Farm Bureau offers a $500 college scholarship to two <strong>Oakland</strong> <strong>County</strong> 4-H youth<br />

planning to pursue an agricultural-related career.<br />

Requirements for the scholarship include enrollment in a major agricultural-related program of study and<br />

the applicant must have carried out, taught and demonstrated agriculture activities as part of his/her 4-H<br />

project experiences. Applicant must be a high school senior or in college.<br />

Applicants will be evaluated on the basis of degree of involvement and expressed interest.<br />

Application deadline is May 1 to:<br />

MSU Extension—<strong>Oakland</strong> <strong>County</strong><br />

4-H Youth Development<br />

North Office Bldg.—26E<br />

1200 N. Telegraph Road<br />

Pontiac, Michigan 48341-0416<br />

Candidates will be interviewed and final selections made exclusively by:<br />

The <strong>Oakland</strong> <strong>County</strong> Farm Bureau


Page 28


Page 29<br />

OAKLAND COUNTY FARM BUREAU SCHOLARSHIP APPLICATION<br />

Please read entire application before answering questions. Do not add additional pages. Use space provided.<br />

APPLICATION DUE: MAY 1<br />

(Due in MSU Extension 4-H Youth Development office—NOT POSTMARKED)<br />

Name:<br />

First Middle Last<br />

Age as of December 31, this year:<br />

Birth Date: _____/_____/_____<br />

I will graduate from:<br />

Residence:<br />

High School _____/_____/_____<br />

(Street Address)<br />

City State Zip<br />

(Telephone Number)<br />

School Information:<br />

(Street Address)<br />

(Telephone Number)<br />

Scholastic Average: ________ on a ________ Point Scale Ranked ________ in a Class of ________<br />

Names of mother and father:<br />

Address:<br />

Number of Brothers:<br />

Number of Sisters:<br />

Field in which you are interested in majoring:<br />

I have completed ________ years in 4-H<br />

Club:<br />

<strong>County</strong>:


Page 30<br />

OAKLAND COUNTY FARM BUREAU SCHOLARSHIP APPLICATION<br />

(CONTINUED)<br />

College you plan to attend:<br />

(Circle one): I have / have not been accepted as of this date:<br />

I have been a teen leader for ________ years in (project area)<br />

Describe why you are interested in pursuing a college education:<br />

Explain your reasons for choosing your field of education:<br />

List below your 4-H project areas (major ones first, with number of years in each—minor ones last with<br />

number of years in each):<br />

4-H <strong>Awards</strong> won (<strong>County</strong> Medals, State <strong>Awards</strong>, Key Participant, <strong>County</strong> <strong>Awards</strong> recognition):<br />

Trophies/Rosettes/Recognition won for Fair Projects Only:


Page 31<br />

OAKLAND COUNTY FARM BUREAU SCHOLARSHIP APPLICATION<br />

(CONTINUED)<br />

4-H Offices held:<br />

<strong>County</strong> Level:<br />

Club Level:<br />

I have attended or been a member of (give number of times):<br />

Kettunen Center<br />

4-H Youth Exploration Days<br />

Washington Focus<br />

Citizenship Focus<br />

State<br />

Year<br />

State 4-H Programming<br />

Horse Jamboree<br />

Committee Meetings<br />

Livestock Expo<br />

Name of Committee(s):<br />

Demonstrated<br />

Participation in statewide youth activities and contests not sponsored by 4-H (District Contests, and State<br />

Contests):<br />

List below interests and activities. Please limit response to space provided.<br />

SCHOOL:<br />

COMMUNITY:<br />

CHURCH:


Page 32<br />

OAKLAND COUNTY FARM BUREAU SCHOLARSHIP APPLICATION<br />

(CONTINUED)<br />

HOBBIES:<br />

SPECIAL INTERESTS:<br />

Briefly describe how you have helped other 4-H participants:<br />

Write a brief statement describing what your biggest achievement in 4-H was and why:<br />

I have personally prepared this application and believe it to be correct:<br />

Date<br />

Signature<br />

I have personally reviewed this application and believe it to be accurate.<br />

Date<br />

Parent/Guardian Signature<br />

Date<br />

Club/Project Leader Signature


Page 33<br />

FRIEND OF 4-H AWARD<br />

Community members and organizations that are not directly involved in 4-H frequently<br />

make contributions to the overall 4-H program. These contributions may consist of<br />

materials, services or financial support.<br />

The Friend of 4-H Award is an opportunity for 4-H clubs to recognize new 4-H individuals and<br />

organizations for their recurring support. The ideal award recipient will have demonstrated commitment<br />

to 4-H by making contributions to MORE THAN ONE CLUB on a recurring basis.<br />

Examples of past Friend of 4-H <strong>Awards</strong> are: Farm Bureau of <strong>Oakland</strong> <strong>County</strong> for support of the <strong>Oakland</strong><br />

<strong>County</strong> All Star Review.


Page 34


Page 35<br />

FRIEND OF 4-H AWARD NOMINATION<br />

Club Name:<br />

Name: Phone #:<br />

Address:<br />

Name of person to be honored:<br />

Address:<br />

Phone #:<br />

Email:<br />

In what way has the individual or group contributed to the success and development of the <strong>County</strong> 4-H<br />

program?<br />

For how many years has this individual or group been involved with the <strong>County</strong> 4-H program?:<br />

How do you feel the <strong>Oakland</strong> <strong>County</strong> 4-H Program has benefited from this involvement?<br />

Submitted by: Phone #:<br />

Address:<br />

Date:<br />

Please mail to: MSU Extension—<strong>Oakland</strong> <strong>County</strong><br />

4-H Youth Development<br />

North Office Bldg.—26E<br />

1200 N. Telegraph Road<br />

Pontiac, Michigan 48341-0416<br />

Please note: This is to honor non 4-H individuals and organizations for their recurring, helpful contributions,<br />

services, etc. for more than one club.<br />

Due in the MSU Extension 4-H Youth Development Office: August 15


Page 36


Page 37<br />

4-H CLUB THANK YOU AWARD<br />

The 4-H Club Thank You Award is designed to provide recognition by a club to individuals, businesses,<br />

or organizations that have done much to help a club fulfill their goals. This could be financial, meeting<br />

space, supplies or another set of hands to help get things done.<br />

This is a competitive award as there will be up to three awards presented each year. Selections will be<br />

based on contributions to the development of your club.


Page 38


Page 39<br />

4-H CLUB THANK YOU AWARD APPLICATION<br />

Club Name:<br />

Location of Meeting:<br />

Name of Nominee/Business:<br />

Address:<br />

Club Representative: Phone #:<br />

Email:<br />

Description of contribution to the overall development of the club:<br />

How have you recognized your nominee/business at the club level?<br />

Youth Representative:<br />

Date:<br />

(Print)<br />

(Signature)<br />

Club Leader:<br />

Date:<br />

(Print)<br />

(Signature)<br />

Due in the MSU Extension 4-H Youth Development Office: August 15<br />

Please include pictures that document the support.


Page 40


MICHIGAN STATE UNIVERSITY ALUMNI CLUB OF OAKLAND COUNTY<br />

Deadline in MSU Extension 4-H Youth Development Office: May 1<br />

Page 41<br />

Name:<br />

Phone:<br />

Address:<br />

City: State: Zip:<br />

Date of Birth:<br />

MSU Student Num.:<br />

High School:<br />

Date of Graduation:<br />

Name of Parent (s) or Guardian (s):<br />

Is Parent or Guardian a dues paying member of MSU Alumni Association?<br />

Brothers and Sisters (give ages):<br />

How many are attending college?<br />

Any at MSU?<br />

List names and addresses of three references who are well acquainted with you other than relatives:<br />

Name Address Phone Occupation<br />

List other scholarships applied for<br />

Awarded?<br />

Why did you select Michigan State University?<br />

What are your career goals? Why?<br />

School and Community Activities: (List years involved and offices held)


Page 42<br />

Special Honors and awards: (Academic and non-academic)<br />

Employment background: (Employer/dates/types of work)<br />

Personal interests and hobbies:<br />

Student’s Signature<br />

SCHOLASTIC RECORD (to be completed by Counselor or School Official)<br />

Rank Out of Grade Point Average<br />

Is the Grade Point Average a weighted average (extra credit for honors or AP courses)?<br />

Test Scores:<br />

A.C.T.<br />

English Math Reading<br />

Science Reasoning Writing Comp<br />

Date of Test<br />

S.A.T.<br />

Verbal Math Writing<br />

Signature of Counselor or Official<br />

Attach transcript of student’s record. Comments from student’s counselor are welcomed.<br />

Please mail to:<br />

MSU SCHOLARSHIP<br />

C/O HELEN J. DYKE<br />

34746 Valley Forge<br />

Farmington Hills, MI 48331


My Club, My Community, My Country and My World 4-H Award<br />

Page 43<br />

This award has been created to encourage clubs to elevate their programs to a higher level of achievement. The criteria<br />

for winning this award is listed below in various categories of programming. The winner of this award will receive a<br />

framed certificate and a rosette presented at the <strong>Oakland</strong> <strong>County</strong> All Star Review.<br />

CLUB Level Criteria To be considered for this award, as a minimum the following activities in this level are required.<br />

<br />

<br />

<br />

<br />

<br />

Club must have been reregistered by the deadline of the current program year.<br />

Club must have had at least 6 meetings a year.<br />

Club must have completed 1 community service project a year.<br />

Club must have held a recognition event for members and volunteers.<br />

Club must have hosted a 4-H promotion event.<br />

COUNTY Level Criteria To be considered for the next additional level, Club must have at least 2 members participating<br />

in each of at least 3 of the following events.<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

All Star Review (Participating and/or supporting)<br />

National 4-H Week Window Display Contest ( club members create display)<br />

International Culinary Exchange<br />

4-H Discovery Day (exhibiting and/or leading an activity)<br />

4-H Style Revue<br />

Serves on a county programming committee<br />

All Star Review & <strong>Awards</strong><br />

Style Review<br />

International Culinary Exchange<br />

4-H Discovery Day<br />

4-H Eco-Challenge Camp<br />

4-H Horse Camp<br />

Other<br />

STATE Level Criteria Club must have at least 2 members participating in at least 2 events. Participation in this level<br />

only requires completion of the club level activities.<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

State Shows (Dog, Rabbit, Poultry, Horse, Livestock)<br />

Youth Exploration Days<br />

Great Lakes Natural Resource Camp<br />

Science Blast Day at the Lug Nuts Game<br />

4-H @ Breslin (Women’s Basketball)<br />

Kettunen Center Workshops<br />

Vet-a-Visit<br />

Capitol Experience<br />

Leader Meet<br />

Other<br />

NATIONAL Level Criteria Participation in this level only requires completion of the club level activities.<br />

<br />

<br />

<br />

<br />

Citizenship Washington Focus<br />

Wonders of Washington<br />

International Exchange<br />

4-H National Congress and Conference


Page 44


My Club, My Community, My Country and My World 4-H Award<br />

APPLICATION<br />

Page 45<br />

Club Name__________________________________________________________________________<br />

Person completing this form_____________________________________________________________<br />

Address_____________________________________________________________________________<br />

Email____________________________________________Phone______________________________<br />

Club Level Activities: __________________________________________________________________<br />

Re-registration Date_________________________<br />

Dates of at least 6 meetings:<br />

1)__________ 2)__________ 3))__________ 4))__________ 5))__________ 6))__________<br />

Describe Community Service Activity:<br />

Date____________________________________________________________________<br />

Location________________________________________________________________<br />

# of participating members_________________# of Adults participating______________________<br />

In 50 words or less describe the service performed:<br />

____________________________________________________________________________________<br />

____________________________________________________________________________________<br />

____________________________________________________________________________________<br />

____________________________________________________________________________________<br />

Please send photographs of this event to Jason Scott at scottj@oakgov.com<br />

4-H Club Recognition Event<br />

Date:_____________________________<br />

Location:__________________________<br />

# of members and volunteers recognized______________________________________<br />

Provide 3 pictures of event and send to scottj@oakgov.com<br />

4-H Promotion Event<br />

Date: ___________________<br />

Location: ________________<br />

Approximate # of people reached__________<br />

Name of event where promotion was held____________________________________<br />

Describe event:<br />

____________________________________________________________________________________<br />

____________________________________________________________________________________<br />

____________________________________________________________________________________


Page 46<br />

COUNTY LEVEL EVENTS: List those members who participated in these events during the last year.<br />

All Star Review<br />

1. 2.<br />

National 4-H Week Window Display Contest<br />

1. 2.<br />

International Culinary Exchange<br />

1. 2.<br />

4-H Discovery Day<br />

1. 2.<br />

Style Revue<br />

1. 2.<br />

Programming Committee<br />

1. 2.<br />

4-H Eco-Challenge Camp<br />

1. 2.<br />

4-H Horse Camp<br />

1. 2.<br />

Other Please describe event, date, location.<br />

1. 2.<br />

STATE LEVEL EVENTS: List those members who have participated in state wide events during the last year.<br />

State Shows (name show & youth)<br />

1. 2.<br />

Youth Exploration Days<br />

1. 2.<br />

Great Lakes Natural Resource Camp<br />

1. 2.<br />

State Workshops (Kettenun Center, KBS, MSU)<br />

1. 2.<br />

Vet-A Visit<br />

1. 2.<br />

Capitol Experience<br />

1. 2.<br />

Science Blast Day at the Lug Nuts Game<br />

1. 2.<br />

4-H @the Breslin Center (Women’s Basketball)<br />

1. 2.<br />

Capitol Experience<br />

1. 2.<br />

Other Please describe event, date, and location.<br />

1.


NATIONAL LEVEL EVENTS: List members who have attended any of these events during<br />

the past year.<br />

Page 47<br />

Citizenship Washington Focus<br />

________________________ ________________________ ________________________<br />

________________________ ________________________ ________________________<br />

Wonders of Washington<br />

________________________ ________________________ ________________________<br />

________________________ ________________________ ________________________<br />

International Exchange Programs<br />

________________________ ________________________ ________________________<br />

________________________ ________________________ ________________________<br />

4-H National Congress and Conference<br />

________________________ ________________________ ________________________<br />

________________________ ________________________ ________________________<br />

Other: Please describe event, location, date, etc.<br />

1)___________________________________________________________________________________<br />

________________________ ________________________ ________________________<br />

________________________ ________________________ ________________________<br />

2)___________________________________________________________________________________<br />

________________________ ________________________ ________________________<br />

________________________ ________________________ ________________________


Michigan State University Extension<br />

<strong>Oakland</strong> <strong>County</strong> / 4-H Youth Development<br />

<strong>Awards</strong> Committee Members<br />

Mary Keen<br />

Mel Hager<br />

Jessica Bowser<br />

4-H Program Coordinator<br />

Sue Stapleton<br />

248.858.0894<br />

4-H Administrative Assistant<br />

Margi Miller<br />

248.858.0889<br />

Ed Scott<br />

Senior Extension Educator Youth Development<br />

248.858.0905<br />

MSU Extension is an affirmative-action, equal opportunity employer. Michigan State University Extension programs and materials<br />

are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability,<br />

political beliefs, sexual orientation, marital status, family status or veteran status. Issued in furtherance of MSU Extension<br />

work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Thomas G. Coon, Director,<br />

MSU Extension, East Lansing, MI 48824. This information is for educational purposes only. Reference to commercial<br />

products or trade names does not imply endorsement by MSU Extension or bias against those not mentioned.<br />

Revised: June, 2013


Michigan State University Extension<br />

4-H Youth Development<br />

North Office Bldg.—26 E<br />

1200 N. Telegraph Road<br />

Pontiac, Michigan 48341-0416<br />

Phone: 248.858.0889<br />

Fax: 248.858.1477<br />

Website: www.oakgov.com/MSU<br />

Facebook: www.facebook.com/MSUExtension<br />

Twitter: www.twitter.com/4HinOC<br />

Blog: www.4HinOC.org

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