Applications are due October 15, 2012 Tests - Indiana 4-H - Purdue ...

INDIANA 4-H HORSE JUDGES’ APPLICATION FORMMail application with check made payable to Purdue University:$20 fee for online test or $30 for paper test to:4-H Horse Judges’ Application, Dr. Colleen Brady,615 W State, West Lafayette, IN 47907-2053Requirements for all judges for inclusion on the 2013 Indiana 4-H Horse and Pony Judges list: Applicant must be 21 years of age by January 1, 2013. Completed application with application fee of $20/$30 received by October 15, 2012.Completed Adult Behavioral Expectation FormCompleted test on the IN 4-H Horse and Pony rulebook with a score of at least 85% (information for testwill be sent after receipt of your application and ABE form).Paper tests due November 1; online tests due November 14.Attend the Multi-State Judges School at least once every three years. Registration information isenclosed. (if you did not attend in 2010 or 2011, you must attend in 2012)Check if you plan to attend seminar in person.Check if you are not planning to attend this year.Name: _______________________________________________________________________First Initial LastComplete address: _____________________________________________________________R.R., Street, Box No._____________________________________________________________City State ZipHome phone number: ___________________Alternate number: ________________________Email to receive test link (print legibly): ____________________________________________Check if you need a test mailed to you, instead of online. Fee must include additional $10 handling fee if thisbox is checked.Check if you need a rule book mailed to you.Previous applicants: What new national breed association judging cards have you added since your lastapplication?Applicants moving to B list: List contact information of your three references. You are required to request thatthey send a letter of reference to the State 4-H Office on your behalf. The letter must be received in the officeby November 14, 2012 for consideration for the B list for 2013.