The following section on youth participating in 4-H programs must be filled out completely in order for literature to be provided. This information is needed for statistical reporting on compliance with Federal Funding Requirements. Racial data is required by Affirmative Action Policy.
All information is kept confidential.
You must print out and send in your signature. Unfortunately with all our technology we can not find any way around this issue. By submitting your application online we will get your information input in a quicker manner, however, your application will not be complete until we receive this signed bottom portion of your application. I offer 4-H educational programs, activities, and materials without discrimination based on race, color, religion, national origin, sex, sexual orientation or disability. Benton County Ext.