MEMBER ACHIEVEMENT PLAN —6
Silver Guard Pin
Application form

Name _____________________________________________	Age ________        Years in 4-H _________

4-H Club ___________________________________________      	County _____________________________

To receive the Silver Guard Pin, complete, during the current 4-H year, requirements 1-4 as listed below, and 8 of  the optional requirements.  Check in column at left when completed.  You may receive this pin only once, and you  may receive only one Achievement Pin in a 4-H year.

______	1.	Exhibit one or more of your projects at a club tour, club exhibit day, the county fair, or an event
		similar to a county fair but with another title.

		Number of exhibits: _________	Event where exhibited: _________________________________

______	2.	Attend a majority (more than half) of the regularly scheduled meetings of your 4-H club. If you have  
		joined your 4-H club this current year, the majority of meetings will be computed based upon
		the number of meetings remaining following your joining the club.	

		Number of meetings held: ________________	Number of meetings attended: ______________	

______	3.	Present a program number at a 4-H project meeting or at another 4-H club or group meeting.
		
		Presentation/title: __________________________________________	   Date: _______________

______	4.	Complete all your project records, project stories and photographs, personal page, 4-H story, and permanent record for every project you are enrolled in and turn it in to your 4-H leader.

OPTIONAL REQUIREMENTS FOR THE SILVER GUARD PIN

______	1.	Take part in the county 4-H Day as a contestant. Event: ___________________________________

______	2.	Take part in designated county quiz bowl or judging contests which are required for eligibility for county
		teams (you need not be named to a county team).
		
		Contests: _____________________________________________________________________________

______	3.	Take part in a county-wide event that is not already listed as a requirement.

		Event: ______________________________________________________________________________

______	4.	Serve as junior leader at county 4-H event, i.e. room monitor at 4-H Day, county fair, 4-H Day Camp, etc.

		Event: ______________________________________________________________________________

______	5.	Serve as an assistant to a project leader. Project: _____________________________________________

		Number of meetings: ________________________		Number of 4-H’ers: _________________

______	6.	Serve as an officer in your 4-H club or group.  Office: ________________________________________

______	7.	Serve as chair of a committee in your 4-H Club. Committee: ___________________________________

_______	8.	Serve as a member of a county 4-H committee. Committee: ____________________________________
		
______	9.	Serve as a member of the county 4-H Council. Number of meetings attended: ______________________

______	10.	Take part in Regional 4-H Day as a contestant. Events: ________________________________________

______	11.	Submit article, artwork, or photograph to the 4-H Foundation.

			Item/date submitted: ___________________________________________________________________

______	12.	Provide help to a new 4-H member throughout the year with projects, records, activities, etc.

			Name of member/describe assistance: _____________________________________________________

______	13.	Receive County recognition at the county achievement banquet or achievement night.

			Recognition received: __________________________________________________________________

______	14.	Make one or more public presentations of 4-H work to non 4-H groups such as schools, Family Community
			Educators, service clubs (Lions, Kiwanis, Rotary), or make a radio or TV presentation featuring 4-H work.

			Presentation/group: _____________________________________________________________________

______	15.	Take part in a state judging contest or quiz bowl as a member of a county team.

			Date: _______________	Contest: _________________________________________________________

______	16.	Exhibit in a competitive class at a state or regional show such as the Kansas State Fair, Kansas All Breeds 
			Dairy Show, National Western Livestock Show, American Royal Livestock Show, Kansas Junior Livestock
			Show, or other similar shows.

		Fair/show: __________________	Exhibit: __________________________________________________

______	17.	Participate in a state fair 4-H event such as: a demonstration contest, Fashion Revue, dog or horse show
			(goes beyond just exhibiting at state fair).

			Event: ________________________________________________________________________________

______	18.	Participate as a host or delegate in a recognized 4-H exchange trip or program with another county/district,
			state, or country.

			Trip/program: __________________________________________________________________________

______	19.	Participate in a club community service project.

			Describe participation: ___________________________________________________________________

I have personally prepared this application and believe it to be correct.

Signed: __________________________________________________________________________________________
4-H’er 								Date

Signed: ___________________________________________________________________________________________
Parent/Guardian 							Date

Recommended approval/deferral: _______________________________________________________________________
4-H Leader 				Date

Recommended approval/deferral: _______________________________________________________________________
4-H Leader 				Date

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nor is criticism implied of similar products not mentioned.

Publications from Kansas State University are available on the World Wide Web at: www.oznet.ksu.edu

Contents of this publication may be freely reproduced for educational purposes. All other rights reserved. In each case, credit
Kansas 4-H Member Achievement Plan 1, Kansas State University, June 2005.

Kansas State University Agricultural Experiment Station and Cooperative Extension Service

	Rice County, 2013

K-State Research and Extension is an equal opportunity provider and employer. Issued in furtherance of Cooperative Extension Work, Acts of May 8 and June 30, 1914, as amended. Kansas State University, County Extension Councils, Extension Districts, and United States Department of Agriculture Cooperating, 
John Floros, Director.