My 4-H Year
Each 4-H member should complete one "My 4-H Year" record sheet per year.
Download Fillable/Printable PDF Record Book Sheet
4-H Year:__________________________
Attach a picture of you from this year to this page
This Record Belongs to |
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Age |
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Years in 4-H |
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Grade in School |
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These are my projects for this year |
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These are my goals for this yearBriefly describe your goals for the coming year. Use only the space provided. Use your tab key to move to the next line. |
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Did you reach your goals?Briefly describe what happened throughout the year as you attempted to reach your goals. Use your tab key to move to the next line. |
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Club & Project Club Meeting ParticipationRecord the number of club & organized project meetings you attend. Add notes as needed. |
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Oct |
Nov |
Dec |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
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Club Name Example Club |
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1 |
No Meeting |
1 |
Missed Meeting -Sick |
2 |
1 |
1 |
No Meeting |
2 |
1 |
1 |
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Club/Project Name |
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Club/Project Name |
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Club/Project Name |
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Club/Project Name |
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Club/Project Name |
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Offices & Committees (4-H and other)Record club offices you hold and committees you are a member of. If you need more space, use the extra pages at end of this record form, and check the box below. |
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Name of Committee or Office |
Describe what you do |
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Promotional PresentationsRecord ways you have promoted or publicized 4-H (examples: wore my club t-shirt, National 4-H Week booth, published a news article, etc.). If you need more space, use extra pages at end of this record form, and check the box below. |
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Type of Presentation |
Description |
Event or Location |
Date |
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Communications ActivitiesRecord your communications activities. (examples: Demonstration/Illustrated Talk, Kiwanis Report, reports at club meetings, public speaking, etc.) If you need more space, use extra pages at end of this record form, and check the box below. |
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Type of Communication |
Title |
Event or Location |
Date |
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Awards & Honors (4-H and other)Record ALL awards and honors that you have received this year. Include both 4-H and other, such as school, sports, community etc. If you need more space, use extra pages at end of this record form, and check the box below. |
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Activity or Event |
Award |
Location |
Date |
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Journal of Activities, Events & ExperiencesUse this page to record ALL activities, events, and experiences as you have them. Include things such as school, sports, church, home chores, civic and volunteer activities. If you need more space, use extra pages at end of this record form, and check the box below. |
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Type of Activity |
Location |
Description |
Date |
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CommentsRecord notes or other comments you have about the experiences you have had this year in 4-H. If you need more space, use extra pages at end of this record form, and check the box below. |
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| Club Member Signature |
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I have evaluated my records and believe that they are accurate, complete and verify that this represents my own work. |
| Club Leader Signature |
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I have reviewed this record book. |
The U.S. Department of Agriculture (USDA), Montana State University and the Montana State University Extension Service prohibit discrimination in all of their programs and actvites on the basis of race, color, national origin, gender, religion, age, disability, polical beliefs, sexual orientaton, and marital and family status.
