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VolunteersRecognition for 4-H Volunteer LeadersIn Webster's New World Dictionary, we are told that the definition of the word recognition is: 1) to be aware of; 2) acknowledgement and approval; 3) gratitude; 4) to notice as in passing. We need to keep all four concepts in mind when seeking ways to recognize 4-H volunteers. We also need to remember that recognition must be user-oriented to be effective. There are numerous ways to recognize 4-H volunteers including: Oregon 4-H Leader of the Year - SCROLL DOWN
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| State 4-H OfficeOregon State University105 Ballard Extension HallCorvallis, OR 97331-3608 | __________________ |
Date ordered
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Leader Recognition Pins
Leaders receive only one of the following:
1st year Pin
Special Note: Leader Recognition Pins donated by Pacificorp Foundation are expensive. Please return any surplus to the State 4-H Youth Development Education Office.
Please request that recipients of leader recognition pins, members of recognition committees, and county Extension Agents express their appreciation to donors.
Letters of appreciation for leader recognition should be mailed to:
Jan Klick
Contributions Administrator
Pacificorp Foundation
LCT 1525 920 SW Sixth Avenue
Portland, OR 97204-1256
Each county should prepare a letter to accompany the recognition pin-which includes the name and address of the local manager and the above name. Letters of appreciation should be sent to all addresses.
Dear 4-H Leader:
Congratulation on your successful year in making a difference in the lives of youth in County. Pacificorp Foundation (Pacific Power and Light) through a grant to the Oregon 4-H Foundation is providing the enclosed pin to recognize the significant contribution you have made.Please take a few minutes to write a thank you letter to the manager of the local PP&L and to Jan Klick, Contributions Administrator, Pacificorp Foundation.
Name and address of PP&L in our county is as follows:
(List manager here)
Letters of appreciation for Ms. Jan Klick should be mailed to:
Pacificorp Foundation
Ms. Jan Klick
Contributions Administrator
1525 LCT, 920 SW Sixth Avenue
Portland, OR 97204-1256
Sincerely,
County Extension Agent
CLICK HERE FOR NOMINATION FORM (PDF)
Donor: Oregon 4-H Leaders' Association
Award:
County Nominees:
Certificate awarded during Oregon 4-H Leaders' Forum
Registration paid to attend the Oregon 4-H Leaders' Forum following selection
State Winner:
Special Recognition during Oregon 4-H Leaders' Forum
Registration paid to attend the Oregon 4-H Leaders' Forum following selection
Registration paid to attend the Western Regional 4-H Leaders' Forum following
selection
Purpose:
To give special recognition to an outstanding 4-H leader who has made
major contributions to the 4-H Youth Development Program.
Criteria:
Recipient will be selected on the basis of the following criteria (information
given must be based on last three years):
· major contribution; county, multi-county or state level
· significance and quality of contribution - breadth and depth
of service to the 4-H Youth Development Program
· award is based on quality of contribution rather then length
of service
Nomination:
Each county is invited and encouraged to submit one nomination.
Nomination should be made by a 4-H organization or individual and must
be submitted in writing to Marilyn Lesmeister, 105 Ballard Extension Hall,
Corvallis, OR 97331-3608, by October 1.
Nominations must be submitted on the Oregon 4-H Leader of the Year
Nomination Form.
Selection:
The selection will be made by a committee appointed by the Oregon 4-H
Leaders' Association Executive Council.
CLICK HERE FOR NOMINATION FORM (PDF)
1995 Sherry Nantz - Union County. Attended WRLF in Denver, CO
1996 Dawn Frazier - Lane County. Attended WRLF in Boise, ID
1997 Nellie Oehler - Benton County. Attended WRLF in Tucson, AZ
1998 Lamoine & Enid Savage - Lane County. Attended WRLF in Albuquerque
1999 Bob & Shari Marler - Deschutes County. Attended WRLF in Spokane, WA
2000 Jack Newman - Clackamas County. Attended WRLF in Kona, HI
2001 Christy Warden - Benton County. Attended WRLF in Sheridan, WY
2002 Frank May - Gilliam County. Unable to attend WRLF in Great
Falls, Montana/attended Forum in Portland, OR
2003 Nancy Rand - Josephine County. Attended WRLF in Portland, OR
2004 Bonnie Marks - Wallowa County, Attended WRLF in Anchorage, AK
2005 Brenda Weber - Douglas County, Unable to attent WRLF in Sacremento, CA
2006 Vern Struble - Benton County, Attended WRLF in Salt Lake City, UT
State Award: Plaque to two alumni
County Award: Alumni pins
Objectives:
· To identify and recognize former 4-H men and women whose accomplishments
in their chosen career exemplify mentor models for 4-H'ers across the
nation.
· To honor former 4-H members whose accomplishments exemplify effective citizenship, leadership, community and public service.
· To encourage former 4-H members to continue their interest in and cooperation with 4-H and other phases of the Extension program.
· To provide youth with living examples of dependable, purposeful citizenship.
Background:
The 4-H Alumni Recognition Program is designed to demonstrate the value
of the 4-H program as a training ground for good citizens. It provides
recognition to 4-H alumni, approximately 36 million individuals nationally,
whose contributions to society exemplify effective citizenship and leadership,
not only as 4-H members but within their chosen careers and as members
of their communities.
Eligibility:
Any adult who has been enrolled in 4-H and who has an outstanding record
or accomplishment relating to good citizenship in adult life is eligible.
Candidates should have achieved success in their chosen profession or
occupation. In addition, volunteer 4-H leaders who are outstanding citizens
and can fulfill qualifications indicated in the Judging Criteria are eligible.
Employees of the Extension Service, National 4-H Council and Oregon 4-H Foundation are not eligible for nomination.
Nomination Procedures:
The application of the county nominees should be submitted to the state
4-H Youth Development office on the Oregon 4-H Alumni Nomination Form
by October 1.
Each county may submit four (4) nominations of which no more than one (1) may be a 4-H leader with significant accomplishment in their chosen career. Up to two (2) will be nominated at the state level for state or national recognition.
Candidates may be nominated by a local 4-H club, county 4-H leaders association, county Extension office or any other group or by individuals including Extension agents, local 4-H leaders, 4-H members, parents, friends, or civic leaders. The candidate may have been a 4-H member or leader in a state other than the state from which he/she is nominated.
Application Requirements:
· Oregon 4-H Alumni Nomination Form.
Selection Criteria...................................................................... Score:
I. Citizenship.................................................................................25
As exemplified by participation in civic, church, community,
school, 4-H, public service and related activities denoting
concern for the welfare of others.
II. Leadership ..............................................................................25
As exemplified by qualities of leadership and acceptance
of leadership responsibilities in civic, church, community,
school, youth professional, business and related activities.
III. Career Accomplishments........................................................... 25
As exemplified by accomplishments and success in chosen
profession or occupation.
IV. Personal .................................................................................25
Evidence of the influence of 4-H training in applicant's
life and his or her continuing commitment to 4-H and its ideals.
Total: ......................................................................................100
(To be used at county, state and national level)
County Submitting Nomination: ___________________________Year: ______
Nominee was active in 4-H in state of:__________________ County: _____________
Number of years nominee active in 4-H: ______
Nominee presently involved in 4-H as:
______volunteer leader _____ resource person ______project leader
______key or middle management role _____donor ______other
Nominee's name:
(first) (middle) (last)
Spouse's name:
(first) (middle) (last)
If nominee is married woman, indicate maiden name:
Name Nominee wants used in publicity:
(please print or type)
Address: Zip:
Phone #:
(residence) (place of business)
Nominee's present occupation:
Title (if applicable):
Address (place of business): Zip:
Former occupations/positions (list in chronological order starting with most current)
Year(s)
Year(s)
Year(s)
Approval of This Nomination
Date Signed
(Local nominator)
Date Signed
(County Extension Agent)
Please provide information related to the following (NOT to exceed three pages in length):
SECTION 1 - 4-H BACKGROUND (Nominee's participation as a 4-H youth)
Please cite major accomplishments of nominee's 4-H career. Include information
on major leadership roles nominee had as an active 4-H member. Indicate
participation level, i.e., county (C), state (S), national (N).
SECTION II - CITIZENSHIP/LEADERSHIP
Please cite nominee's present citizenship/leadership qualities as exemplified
in present 4-H, civic, community, school, church, public service and other
related activities denoting concern for the welfare of others.
SECTION III - CAREER ACCOMPLISHMENTS
Cite major accomplishments and successes in chosen profession/career,
highlighting business and professional activities.
SECTION IV - PERSONAL
Please cite evidence of the influence of 4-H training in nominee's life
and his or her continuing commitment to 4-H and its ideals.
* National Alumni Winner
| 1953 | Mrs. Alice Lindsay | Josephine |
| Mr. Clayton Fox |
Union | |
| Mrs. Blanche Lewis | Hood River | |
| Mr. Donald Jossy | Clatsop | |
| 1954 | Mr. Joe Rogers, Jr |
Polk |
| Mr. Elton Thompson | Marion | |
| Mr. Lester vanBlockland | Union | |
| Mrs. Dean Puckett | Union | |
| 1955 | Mrs. John Graves |
Morrow |
| Mr. Harold Peterson | Polk | |
| Mr. CA Loe | Marion | |
| 1956 | Mr. Eldon Riddell | Polk |
| 1957 | Barnard Joy | Jackson |
| 1958 | Joe Rogers, Jr. (resub) * | Polk |
| Eldon Riddell (resub) | Polk | |
| Mrs. John Graves Morrow | Morrow | |
| 1959 | Mrs. William Townsend * |
Multnomah |
| 1960 | Eldon Riddell (resub) | Polk |
| Mrs. Walter Wright | Morrow | |
| Mrs. Lynn Cook | Polk | |
| Hugh Muller | Polk | |
| 1961 | None | |
| 1962 | None | |
| 1963 | Randall Grimes |
Linn |
| 1964 | Mr. Marshall Gifford |
Multnomah |
| Mrs. Grant Henderson | Union | |
| 1965 | Richard S. Jossy |
Washington |
| William Harland | Polk | |
| 1966 | George Knaupp | Polk |
| 1967 | Mrs. C. W. Anhorn | Jackson |
| 1968 | A. Curtis Lamb | Polk |
| Hugh Muller | Polk | |
| Mrs. Harold Mann | Curry | |
| 1969 | Kirby Brumfield * |
Multnomah |
| 1970 | William Cadle | Polk |
| 1971 | Gloria Davis | Gilliam |
| 1972 | Albert G. Riney |
Gilliam |
| Hazel Rogers | Clatsop | |
| Charles Hunt | Wheeler | |
| Mrs. Andrew Young | Clatsop | |
| 1973 | Myrtle Slanger |
Clatsop |
| Jane Enevoldeson | Clatsop | |
| 1974 | Anna Sarkie | Clatsop |
| Bernard Ingle | Malheur | |
| Ava Pohrman | Multnomah | |
| 1975 | Suzanne Ashmun |
Multnomah |
| Walter Vorhert | Multnomah | |
| Anne Odgen | Washington | |
| John Johnson | Clatsop | |
| 1976 | Rognar Anderson |
Clackamas |
| Bob Townsend | Multnomah | |
| Nancy Jones | Multnomah | |
| Beverly Mentzer | Marion | |
| 1977 | Mildred Rumpel |
Malheur |
| Ethyl Fox | Multnomah | |
| Edwin Ridder | Clackamas | |
| Everett Shibley | Clackamas | |
| 1978 | None | |
| 1979 | Dr. Howard Cherry | Multnomah |
| 1980 | None |
|
| 1981 | None | |
| 1982 | None | |
| 1983 | None | |
| 1984 | Margaret Headrick | Clackamas |
| 1985 | Glen Gulstrom | Coos |
| Jean Davenport | Coos | |
| Mary Lou Koehler | Clackamas | |
| Judith Hoefer * | Washington | |
| 1986 | Drusilla Fern |
Clackamas |
| Gray Thompson | Clackamas | |
| 1987 | None | |
| 1988 | Ken Austin * |
Yamhill |
| 1989 | David E. Bishop |
Yamhill |
| Edward Peterson |
Marion | |
| 1991 | H. Joe Myers |
Benton |
| 1992 | Bob Ohling | Marion |
| 1993 | None |
|
| 1994 | None |
|
| 1995 | None | |
| 1996 | Lynn Hilbert |
Washington |
| Enid Savage | Lane | |
| Blanche Harper | Crook | |
| Hugh Wood | Tillamook | |
| Francis Price | Douglas | |
| Glenn Klein | Benton | |
| 1997 | Floyd Bodyfelt |
Tillamook |
| 1998 | Dale Buck | Tillamook |
| 1999 | David Huber | Union |
| Paul A. Hanneman | Tillamook | |
National Donor: CSREES/USDA
State Donor: State 4-H Program
County Donor: County Option
Purpose:
· To recognize individuals, groups, business organizations, foundations,
associations, governmental bodies, and other institutions who have worked
closely with the Cooperative Extension Service in supporting the 4-H program.
This special recognition is limited to those who provide sustained and
significant contributions to the 4-H Youth Development Program.
Criteria:
Recipients (individuals and organizations) will be selected on the basis
of the following criteria:
· Major contribution at the level at which the award is presented.
· Types of assistance--educational, financial, advisory, legislative,
informational, etc.
· Significance and quality of contribution--breadth and depth of
service to the 4-H program and effectiveness in helping to meet the goals
of 4-H.
· Tenure--must represent continuing support over a number of years.
· The Partner-in-4-H recognition is not to be awarded to employees
of the Cooperative Extension Service or units of CES; to employees of
4-H Foundations and related 4-H associations, whether local, city, county,
or State; or to employees and units of the National 4-H Council.
Recognition and plaques may be provided at local, state and national levels. If offered at the county level, plaques, pins and tie tacks are available from National 4-H Source Book. State Recognition is provided through the Oregon 4-H Program. National Recognition is provided through the CSREES/USDA.
Nomination Procedures:
· Nomination shall be made by any 4-H organization or individual.
· Nominations are submitted on the Partner-in-4-H nomination form
to the State 4-H Youth Development Office by October 1.
County Award __
State Award __
National Award __
Nominee:
Individual Name/Organization:
Address:
Phone:
Fax:
Contact Person (if organization/business, etc.)
Summary of Nominee's Contribution to 4-H: Include factual data such as number of youth/adults reached, impacts on people, financial value of contributions, etc. Note whether contributions are county, state, or national level. (Attach one additional sheet if necessary.)
Suggested Citation: Please limit to 30 words or less. Please write
in a style that you would consider to be the actual citation that is used.
Nominations Due October 1 to:
State 4-H Youth Development Office
Ballard Extension Hall 105
OSU
Corvallis, OR 97331-3608
Submitted by:
Name:
Title:
Address:
Phone Number:
Fax Number:
Recipients Since 1964
1964 Cecil Root
1965 R. L. Clark, Herman Oliver, Meier and Frank Company
1966 L. J. Allen, The Sears-Roebuck Foundation, Oregon Bankers Association
1967 Mrs. Vivian Freeman, Clyde Walker, Standard Oil Company of California
1968 A. G. B. Bouquet, United States National Bank of Oregon, First National Bank of Oregon
1969 Mr. and Mrs. Marion Weatherford, J.C. Penney Company
1970 Pacific Power and Light Company, Portland General Electric Company
1971 Mr. and Mrs. Ivan Stewart, E. L. "Dad" Potter, Union Pacific Railroad
1972 Mr. and Mrs. Burton S. Hutton, Safeway Stores, Inc., a joint award to the Oregon Wheat Growers League and the Oregon Wheat Commission
1973 Mr. Walter Leth, The Oregon Farm Bureau Federation, The Oregon Sheep Growers Association and Auxiliary
1974 T. J. Starker, Jackie Stone, The Capital Press
1975 Cal Geisler, Z. F. Martin, Tandy Leather Company
1976 Wes Cartwright, Anne Ogden, The Oregon Veterinary Medicine Association
1977 Oregon Federation of Garden Clubs, Mrs. Gale Burwell, Oregon Fair Association
1978 Howard Pohrman, George Morey, Cascade Dog Obedience Club
1979 Glenn Barber, Bill Martin, Oregon Horseman's Association.
1980 Oregon Angus Association, Mr. and Mrs. Dick Wagner, Bertha Sharp
1981 Oregon Cattleman's Association, Oregon Holstein Association, Associated Meat Company
1982 Oregon State Fair Commission, Oregon Jersey Cattle Club, Oregon Guernsey Breeders Association
1983 Glenn (Sadie) Hawkins, Ray Counts, Steele Lindsey
1984 Ted Dietz, Frank Braman
1985 Ken Austin, Enid Savage, Kirby Brumfield
1986 None
1987 Farm Credit Service, Marge Edwards
1988 Cal Monroe
1989 Evelyn Larsen, Clayton Fox, Hilda Highbe
1990 Florence Carroll, Rich & Jean Nilles, Miriam Smith
1991 None
1992 Cathy Holland, Nancy Rand, Chevron USA
1993 Pete Ballou, Pendleton Woolen Mills, Mr. & Mrs. H. Joe Myers
1994 None
1995 None
1996 Ronald and Judy Grove, Robert and Dawn Burton, Lafe Smith
1997 Tandy Leather Company, Lynne Breese, Patricia Jarschke
1998 Sue Berklund, Diane Miller, Oregon Master Gardeners
1999 None
PARTNER-in-4-H AWARDS
Recipients Since 1996
1996 Portland Public Schools, Meier and Frank Company, Capital Press
1997 Tillamook County Creamery Association, Souther Foundation
1998 Farm Credit Services, Clayton Fox
1999 None
Each year, OSUEA honors individuals and businesses who have made significant contributions to Extension programs. It is through these cooperators that Extension is able to accomplish so much. To eliminate duplication of efforts, OSUEA has partnered with our ESP affiliate. We have combined their "Friends of Extension" award with our "OSUEA Cooperator Award" to create the "OSU Extension Service Cooperator Award" (sponsored by OSUEA). One of our winners can then potentially go on to receive national ESP recognition in their Friend of Extension category.
Take time now with your staff to nominate someone for this award. The recognition and honor of being named a "OSU Extension Service Cooperator" is a small reward for the time, energy, and dedication a volunteer gives. Every program area in every county, and statewide, has several individuals and businesses who are "you can count on" cooperators. Now is the time to nominate them for this recognition.
Past winners are listed on the OSUEA Web site at: http://oregonstate.edu/dept/osuea/
Nomination procedures
1. Administrators, specialists, agents, and support staff discusses potential nominees for one or more categories.
2. Prepare a nomination of no more than three single-spaced, typed pages. The nomination should have specific examples and information that illustrate the volunteer or businesses contributions in each of the three evaluation criteria areas. Please be sure to include the applicant's name and address in the nomination.
3. Send in the nomination by 5:00 PM Friday, August 2nd. Send nominations to:
Tonya Aitkin
OSUEA Public Relations Committee
Wasco County Extension Service
400 E Scenic Drive, Suite 2278
The Dalles, OR 97058
Fax: 541 298-3574
Email: tonya.aitkin@oregonstate.edu
Awards are given in the following categories
A. Individuals with 10 years or more of service
B. Individuals with fewer than 10 years of service
C. Businesses or organizations (no time limit)
Evaluation criteria................................................................................
Points
Program involvement...with Extension volunteer programs, time
contributions with significant impact and leadership. For
business or organizations, actions beyond what is normally done
to conduct the business or activity..............................................................60
Support...for Extension such as advisory councils, committees,
fund raising, financial contributions, political support, etc..............................30
Community service...other than Extension...................................................
10
Total points...........................................................................................
100
This is a new recognition sponsored by the National Association of Extension
4-H Agents. It is designed to recognize and celebrate those people who
have made a significant impact on 4-H and the lives of millions of members
over the past 100 years. Nominations are due September 1 to the Oregon
4-H Program Leader. For further information check the Web site: www.nae4ha.org.
Individuals from Oregon in the National 4-H Hall of Fame
2002 H.C. Seymour, Polk County
2003 Alberta Johnston, Statewide
2005 H. Joe Myers, Statewide
This national award was recently established to recognize outstanding
4-H volunteers. Two awards will be given annually. One award, entitled
"Lifetime Volunteer", will be given to a volunteer who has served
for at least 10 year. Another award, entitled "Volunteer of the Year",
will be given to a volunteer who has served for less than 10 years. Nominations
are generally due in November.
Oregon Nominations
2002
Delores Fanning - Polk County Lifetime Volunteer
Jula Galvin - Marion County Volunteer of the Year
2003
Mel Jeffrey - Clackamas County Lifetime Volunteer
Susan Hunt - Josephine County Volunteer of the Year
Oregon Applications are due to the State 4-H Office
Postmarked by Monday, November 18, 2003
Guidelines
1. Eligibility for the 2004 Salute to Excellence Lifetime Volunteer Award
is extended only to those who have served as a 4-H volunteer for at least
10 years or more at the county or state level.
2. In order for a volunteer to receive consideration, all completed nomination
materials must be submitted by a nominator, to the nominee's State 4-H
Office. A volunteer may nominate himself/herself for this award. Out of
the pool of nominations, each State 4-H Office will select one state nominee
for the 2003 Salute to Excellence Lifetime Volunteer Award. One volunteer
will be selected as the national award recipient, from among all the state
nominees.
3. Each completed application must be accompanied by three letters of
recommendation, and a nominee essay. Letters of recommendation must be
written by a 4-H staff member,
4-H youth participant, another volunteer, or a parent/guardian. The essay
must be written by the nominee. Details concerning the content of the
letters of recommendation, and essay are listed below.
Instructions
Please complete this nomination form and submit it along with the letters
of recommendation and essay to your State 4-H Office. Each State 4-H Office
will select one state nominee for the 2004Salute to Excellence Lifetime
Volunteer Award. Only the
State 4-H Office can officially designate a volunteer as the state nominee.
State 4-H Offices must submit five copies of the nomination forms
to National 4-H Council by Friday, December 5, 2003 in
order for the nominee to be considered for the 2004Salute to Excellence
Lifetime Volunteer Award.
Nominee Contact Information
______________________________________________________________________________
Last Name, First Name, Middle Initial
______________________________________________________________________________
Street Addres,s City, State, Zip Code
__________________________ __________________________ _________________
Home Phone, Work Phone, Email Address
How many years has this person served as a 4-H volunteer? ____ years
Nominator Contact Information (if different from above)
______________________________________________________________________________
Last Name, First Name, Middle Initial
______________________________________________________________________________
Street Addres,s City, State, Zip Code
__________________________ __________________________ ______________
Home Phone, Work Phone, Email Address
Instructions for Nominee Essay
On a separate sheet of paper, please provide a typed essay that describes some of the 4-H projects and activities you have been involved in. Please discuss:
· Your positive impact on 4-H youth
· How you engaged new youth in 4-H
· Explain any new programs or fundraising initiatives you created
· Your personal growth from being a 4-H volunteer
This statement should be no longer than 3 pages in 12-point font with 1-inch margins.
Letters of Recommendation Guidelines
Please submit three (3) letters of recommendation for the nominee. The letters of recommendation should be written by a 4-H staff member, 4-H youth participant, another volunteer, or a parent/guardian, and address the following items:
· Work ethic and dedication to 4-H
· Demonstrated ability to work with young people
· Recruitment of additional 4-H volunteers
· Advocacy of the 4-H youth development movement
· Dedicated to youth empowerment or youth/adult partnerships
· Professional attitude, character, and morals
Oregon Applications are due to the State 4-H Office
Postmarked by Monday, November 18, 2003
Guidelines
4. Eligibility for the 2004 Salute to Excellence Volunteer of the
Year Award is extended only to those who have served as a 4-H
volunteer for less than 10 years at the county or state level.
5. In order for a volunteer to receive consideration, all completed nomination
materials must be submitted by a nominator, to the nominee's State 4-H
Office. A volunteer may nominate himself/herself for this award. Out of
the pool of nominations, each State 4-H Office will select one state nominee
for the 2004Salute to Excellence Volunteer of the Year Award.
One volunteer will be selected as the national award recipient, from among
all the state nominees.
6. Each completed nomination form must be accompanied by three letters
of recommendation, and a nominee essay. Letters of recommendation must
be written by a
4-H staff member, 4-H youth participant, another volunteer, or a parent/guardian.
The essay must be written by the nominee. Details concerning the content
of the letters of recommendation, and essay are listed below.
Instructions
Please complete this nomination form and submit it along with the letters
of recommendation and essay to your State 4-H Office. Each State 4-H Office
will select one state nominee for the 2004 Salute to Excellence
Volunteer of the Year Award. Only the State 4-H Office can officially
designate a volunteer as the state nominee. State 4-H Offices must submit
five copies of the nomination materials to National 4-H Council by Friday,
December 5, 2003 in order for the nominee to be considered for
the 2004 Salute to Excellence Volunteer of the Year Award.
Nominee Contact Information
______________________________________________________________________________
Last Name, First Name, Middle Initial
______________________________________________________________________________
Street Address, City, State, Zip Code
__________________________ __________________________ __________________
Home Phone, Work Phone, Email Address
How many years has this person served as a 4-H volunteer? ____ years
Nominator Contact Information (if different from above)
______________________________________________________________________________
Last Name, First Name, Middle Initial
______________________________________________________________________________
Street Addres,s City, State, Zip Code
__________________________ __________________________ __________________
Home Phone, Work Phone, Email Address
Instructions for Nominee Essay
On a separate sheet of paper, please provide a typed essay that describes
some of the 4-H projects and activities you have been involved in. Please
discuss:
· Your positive impact on 4-H youth
· How you engaged new youth in 4-H
· Explain any new programs or fundraising initiatives you created
· Your personal growth from being a 4-H volunteer
This statement should be no longer than 3 pages in 12-point font with 1-inch margins.
Letters of Recommendation Guidelines
Please submit three (3) letters of recommendation for the nominee. The letters of recommendation should be written by a 4-H staff member, 4-H youth participant, another volunteer, or a parent/guardian, and address the following items:
· Work ethic and dedication to 4-H
· Demonstrated ability to work with young people
· Recruitment of additional 4-H volunteers
· Advocacy of the 4-H youth development movement
· Dedicated to youth empowerment or youth/adult partnerships
· Professional attitude, character, and morals
Donor: The Fish and Wildlife Service, US Department of Interior
and USDA, CSREES
State Award: One Leader Recognition Certificate
National Award: Six trips to the North American Wildlife and Natural Resources Conference
Definition: This program includes Fishing, Range Management, Outdoors, Rifle, Archery, Forestry, Forestry and Conservation.
Objectives:
The Wildlife and Fisheries program provides 4-H leaders the opportunity
to:
· Expand abilities to instruct youth and to motivate and stimulate
youth to active participation in Wildlife and Fisheries activities.
· Obtain necessary resources and materials to create an awareness, appreciation for, and understanding of the necessity for wise stewardship of our natural resources.
· Demonstrate a personal commitment to sound Fish and Wildlife conservation, enhancement and enjoyment practices.
· Practice leadership skills and roles, take part in community affairs, and demonstrate citizenship responsibility.
· Explore career, job and productive leisure opportunities.
· Develop skills, knowledge and attitudes for lifelong use.
· Learn to use accepted practices for mental, physical and emotional health, and to respect yourself and others.
Eligibility:
· State winners must have passed their 19th birthday as of January
1, of the current year.
· Candidates must be an active 4-H volunteer leader at the time of application.
Nomination Procedures:
· It is the responsibility of the county Extension staff to select
their county nominee.
· The nomination form should be filled out by the 4-H volunteer and supported by the county Extension faculty.
The records of the county nominee should be submitted to the state 4-H office by September 1
Wildlife & Fisheries Adult Volunteer Leader Record Form
State__________________________ County ___________________________
Background Information
1. Name_______________________ Social Security Number _________________________
2. Address
3. Telephone
4. Present Occupation/Position
5. Number of years as a 4-H Volunteer Leader
6. Summary of Individual experiences and accomplishments as an adult 4-H Wildlife & Fisheries Leader (use additional pages if needed)
7. Areas of interest and involvement in community, county, state, national or international level (civic, educational, business, religious, political, others) in area of Natural Resources (use additional pages if needed)
8. Examples of leadership in areas of 4-H work other than Wildlife and Fisheries (use additional pages if needed)
9. What future plans do you have for working as a 4-H Wildlife and Fisheries leader (use additional pages if needed)
10. Awards and recognition received as a result of your 4-H volunteer leadership (use additional pages if needed)
Leader's Signature ______________________________________
County Extension Agent _________________________________
State 4-H Leader ________________________________________
