MEMBER ACHIEVEMENT PLAN —2
Bronze Pin

Application form

Name _____________________________________________	Age ________        Years in 4-H _________

4-H Club ___________________________________________      	County _____________________________

To receive the Bronze Pin, a member must meet the following requirements during the current 4-H year. 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.	Attend one club or county event.  Event: _________________________________________________

______	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.

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

Kansas State University Agricultural Experiment Station and Cooperative Extension Service

Brand names appearing in this publication are for product identification purposes only. No endorsement is intended,
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.