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LOUISIANA 4-H RECORD SUMMARY FORM Name of project being ...

LOUISIANA 4-H RECORD SUMMARY FORM Name of project being ...

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COMMUNITY SERVICE/CITIZENSHIP (EXAMPLE)<br />

Include things you have done alone or with others to benefit those outside <strong>of</strong> 4-H such as at school,<br />

church, your neighborhood, city/town, parish, etc. Include community service done in the last three (3)<br />

years. Place asterisks (*) by those related to the <strong>project</strong> <strong>being</strong> reported.<br />

Year<br />

Community Service/Citizenship Activity & Your Specific Roles/Responsibilities<br />

(Example)<br />

Foods & Nutrition<br />

02-03 *Meals on Wheels - Delivered lunch to elderly.<br />

03-04<br />

Interviewed Mayor - Discussed community problems related to youth<br />

Citizenship Washington Focus - completed Short Course<br />

Adopted-A-Grandparent - Baked snacks, ran errands and visited “Grand-mom” Millie<br />

weekly<br />

MAJOR HONORS AND RECOGNITION IN 4-H PROJECT BEING REPORTED<br />

Year Type <strong>of</strong> Award For What Received Level/number<br />

SILVER TRAY SEAFOOD COOKERY Pl

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