3.44 Florida 4-H Performance Standards Clover Award Application ...

Florida 4-H Performance Standards
Clover Award Application
SENIOR
14-18 years old
May 30th, 2012 – May 28th, 2013
Due by 4:00 PM on May 28th, 2013
3.44
Award Level Applying For:
Name:
Club(s)
:
Plan Project Goals
Discussed with 4-H Leader,
Parent, or 4-H Staff
Attend at least six
Club Meetings
OR
2/3’s of meeting held
Date of Completion
1.
2.
3.
4.
5.
6.
4-H Age:
LEADER or 4-H Staff Signature
Serve on 4-H Committee or
Hold Office
1.
Participated 4-H Activities
1.
2.
3.
4.
5.
6.
Participation/Lead Community Service Activities
1.
2.
3.
Teach County Level Class or Workshop
1.
2.
Parent Support: See Volunteer Opportunities on Q & A Sheet
1.
2.
Senior Performance Application, Page 1 of 2

Participated in 4-H
Competitions / Exhibitions
1.
2.
3.
4.
Completion Date
3.44
LEADER or 4-H Staff
Signature
Participated in 4-H District or Higher Event
1.
2.
4-H Talk Given to a Community Group
1.
Teach Club Level Class or Workshop
1.
2.
Teach County Level Class or Workshop
1.
2.
Write Thank You Note to 4-H Club Leader or 4-H Office
1.
State Award / Scholarship Portfolio
1.
WILDCARD – Can substitute for one requirement, except record book.
Christmas Parade Participant or Volunteered at the Youth Expo
1.
PARENT Signature / Date
PARTICIPANT Signature / Date
Signatures are REQUIRED.
Get your Parent, Leader and 4-H Staff signatures BEFORE the deadline date.
Senior Performance Application, Page 2 of 2