Lancaster County Outstanding 4-H Member Award Nomination Form | Nebraska Extension in Lancaster County

Due January 3

Each year, Lancaster County 4-H presents an Outstanding 4-H Member Award to an individual 14 years of age or older who has excelled in their involvement with the Lancaster County 4-H program. The basis for selection appraises the variety and depth of 4-H activities.

Recipients will be announced at Lancaster County 4-H Achievement Celebration (usually held in February).

Nominations may be made by 4-H leaders, parents or friends. They may also be self-nominated.

Note: This form cannot be saved in-process. It must be completed and submitted in one sitting.

Nominee:

Name of 4-H Member:

First Required

Last Required

Suffix

Age: Required

Home Address:

Address Required

Address 2

City/Town Required

State/Province Required

ZIP/Postal Code Required

Phone (daytime): Required

Number of years enrolled as a Lancaster County 4-H Member: Required

Why this member is outstanding:

Write a brief statement of the 4-H member’s achievements: Required

Nominator:

Name: