4-H LEADERSHIP RECORD
Year    	

Name	Age  	

Years in project 	

Learning Experiences

List below your main leadership responsibilities, worked out with the adult leaders and other teen leaders at the beginning of the year, based on the needs of your club and community.  At the end of the club year, report your results on the following pages. (Include working with specific youth on projects, committees, and programs.)

What are your personal goals that you would like to accomplish or take part in this coming year (consider project skills, activities, events, trips, personal growth?)

How many youth are enrolled in your club?  	

How many adult volunteer leaders are assisting?  	

How many teen leaders (include yourself) are in the club?  	

LEADERSHIP TO OTHER YOUTH

Consider your leadership: leadership of youth in project work, helping meet goals, demonstrations, project talks, judging, securing new 4-H’ers, officer training, exhibition, counseling, camp, trips, tours, etc.

Names of youth you led	What did this person learn” How did you help?

Example: Charlie Brown.	Charlie learned how to plant, grow, and harvest field beans, peas, and
tomatoes.  I showed him how to plant, thin, prune, and stake his vegetables.

LEADERSHIP GIVEN TO YOUR LOCAL CLUB AND COMMUNITY

Include committees or groups you led, project instruction given, community service programs led such as health, safety, conservation, and similar opportunities. Include other youth organizations.

Activity

What were your leadership responsibilities?  Names of
those helped.

Example:	I found out from the rest home what kind of refreshments we could bring. Our club’s Valentine Day party	Then three kids and one junior leader and I made the refreshments.
for senior citizens in rest home.

	

LEADERSHIP PROVIDED COUNTY/DISTRICT, REGIONAL, OR STATE-WIDE ACTIVITIES OR EVENTS

Include County 4-H Day, camps, fairs, and other county-wide or state events and how each helped members in your club and other people.

Activity or Event

What leadership responsibilities did you fulfill?  Give
an example for each on how your effort helped other

Example: Press Corps.	Two junior leaders and I took pictures of kids finishing their projects.  We
showed ten kids and projects. The newspaper used the pictures in a feature story to tell people how 4-H’ers finish projects for the fair.

	

4-H Leadership STORY & PHOTOS
Attach a separate sheet of paper with a story telling why you chose this project, talk about experiences, challenges, successes, activities, etc...  May also include up to three (3) pages of photos.

______________________________	________________________ 4-H member signature	Project Leader signature

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