LEADERSHIP Officer Year Officer position 4-H club C 1 pt M/D 2 pts S 3 pts N 4pts Total Points EX: 2011 Secretary Happy Trails Horse Club 1 1 Total Officer Points Committee Chair Year Committee chaired Committee function C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Committee Points Teaching Year Subject Number in group What group of 4-H’ers were taught? C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Teaching Points Counselor Year Issue Number in group Specific Outcomes C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Counselor Points Develop materials (ie lesson plans, forms, and curriculum) Year Type of material How distributed Number receiving material C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Development Points
Assisted Leader Year 4-H duties How you helped Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Assisting Points 4-H Presentation Year Type of presentation audience C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Presentation Points Mentor Year Mentorship focus How mentor helped 4-H’ers Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Mentor Points Coordinate Year 4-H duties What did you coordinate C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Coordinate Points Facilitate Year 4-H duties What did you facilitate C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Facilitate Points
CITIZENSHIP Visit a state/national Capitol Year Capital Skill/ knowledge gained C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Capitol Visitation Points Tour Kentucky Courthouses and/or other Kentucky government buildings Year County Building toured Skill/knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Courthouse/Buildings Visitation Points Attend government/elected official meetings Year County Function attended Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Meeting Points Campaign for 4-H offices Year Position sought Activities performed Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Campaign Points Visit historical landmarks in your community/state Year County Landmark toured Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Landmark Visitation Points
4-H Innovative Ideas (ie. Create a scavenger hunt based on the historical sites visited; write a paragraph about a historical landmark for your Agent to publish in a newsletter, etc.) Year County Purpose/ result Skill/ knowledge gained C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Innovative Citizenship Points Extended Citizenship Activities Outside of 4-H (Limit of 5 points per year) Provide information about other significant citizenship experiences you have had beyond your 4-H involvement: Year External citizenship activity Significance Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Extended Citizenship Points CITIZENSHIP TOTAL Total Capitol Visitation Points Total Meeting Points Total Campaign Points Total Landmark Visitation Points Total Innovative Citizenship Points Total Extended Citizenship Points CITIZENSHIP TOTAL COMMUNICATION/MARKETING 4-H Communication Contest (ie. Talks, Demonstrations, etc.) Year Type of Contest Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Communication Contest Points
4-H Radio/Television (Appearance, Public Service Announcements, Commercials) Year Type of communication Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Radio/Television Points Print Communication (Brochures, Newsletters, Displays) Year Type of communication Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Print Communication Points 4-H Digital Media/Online Communication (Video, Web Mastering) Year Type of communication Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Digital Media Points 4-H Public Presentations (Lectures, Master of Ceremonies, Informative Talk, 4-H Promotion) Year Type of communication Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Presentation Points 4-H Recruit new member that joins a club Year Type of recruitment Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Recruitment Points
Assists 4-H Agent Year 4-H duties 1 time or Number of participants How was 4-H agent helped? C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Agent Assistance Points Special 4-H Recognition/Awards Year Type of 4-H recognition/ reward Item / activity being recognized C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Recognition Points Participate in a new 4-H Project Area from previous year Year 4-H project area Type of participation C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total New Project Area Points 4-H Innovative Participation Ideas Year Explain Idea Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Innovative Ideas Points Extended Participation Activities Outside of 4-H (Limit of 5 points per year) Provide information about other significant participation experiences you have had beyond your 4-H involvement: Year Type of external participation Audience Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Extended Participation Points