OKLAHOMA 4-H REPORT FORM
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1 OKLAHOMA 4-H REPORT FORM NAME COUNTY ENTRY CATEGORY Level 1 Level 2 Hall of Fame 4-H PROJECT AREA (ENTER 1 PROJECT FOR LEVEL 1 OR 2) AGE/GRADE AS OF SEPTEMBER 1, 2018 LEVEL I & II PROJECT CHECK LIST 4-H member will complete check list below to make sure they have formatted their entry correctly. A penalty of 5 points per item will be assessed to the record book score if not correct! Name, county and program area on a label in upper right corner of cover or folder. Oklahoma Report Form Page 1 all information complete, including all signatures Section 1A maximum of 2 pages Section 1B 1 page Section II maximum of 2 pages Section III maximum of 2 pages Section IV & V maximum of ½ page for each section on same page One copy of the 4-H story bound in the book. Story is no more than 6 typed or printed pages on 8 1/2" x 11" white paper, printed on one side of the paper, and double spaced. Story margins are: Left: 1.25 inches; Right, top and bottom:.5 inch. There is no need to list name, county and project on the top right of the story. No more than three pages of photos. Photos should have captions. Photo page margins are: Left: 1.25 inches; Right, top and bottom:.5 inch. PHOTOGRAPHY Project Book may have 10 additional pages of pictures which can be 8 X 10 prints or smaller of examples of photography work and captions Font size for Oklahoma Report Form, Story and Photo captions must be a minimum of 12 point font. Approved fonts include: Times New Roman, Arial, Cambria, or Calibri (THIS ITEM IS AN AUTOMATIC DISQUALIFICATION!) No Project record sheets, newspaper clippings, correspondence have been included. 4-H Member s Signature: Date: EDUCATOR USE ONLY: I have double- checked the book for the above requirements and deem it to be complete. I have entered this project book into the Awards data base. Educator Signature Date:
2 County: Name of Project reported in Section I OR list Hall of Fame : For AOP projects, list project(s) reported Number of years in this project: Name you want used in Publicity: Year: Number of years in 4-H: Complete Home Address Street, RR, or PO Box: City, State & Zip Code: Home Telephone: Cell Phone: Date and Year of Birth (mm/dd/yyyy) Age on September 1, 2018: Names or Parents/Guardians: Name of your local 4-H club or group: Year in School on September 1, 2018: If I am named a state winner in two project areas, my ranking is: Applicants for Level II (Advanced) Projects must complete the following information: 1 st 2 nd I was named a State Winner in Project in (year) Statement by 4-H Member I have personally prepared this report and certify that it accurately reflects my work Date ( mm/dd/yyyy ) Signature of 4-H Member Approval of Report We have reviewed this report and believe it to be correct: Date ( mm/dd/yyyy ) Date ( mm/dd/yyyy ) Signature of Parent or Guardian Signature of Extension Staff
3 Section I-A Participation in the 4-H Project: What have you done in this project? (2 pages maximum)
4 Section I-A Participation in the 4-H Project: What have you done in this project? (2 pages maximum)
5 Section 1-B What have you learned in this project? (1 page)
6 Section II Leadership Experiences: Place asterisks (*) beside activities relating directly to the project outlined in Section 1. (2 pages maximum)
7 Section II Leadership Experiences: Place asterisks (*) beside activities relating directly to the project outlined in Section 1. (2 pages maximum)
8 Section III Citizenship/Community Service: Place an asterisks (*) beside activities relating directly to the project outlined in Section 1. (2 pages maximum)
9 Section III Citizenship/Community Service: Place an asterisks (*) beside activities relating directly to the project outlined in Section 1. (2 pages maximum)
10 Section IV Awards in all 4-H Projects: List the most meaningful awards you have received. (1/2 page maximum) Year (s) Type of Award Level (L, C, D, S) Section V Non-4-H Experiences: List your most meaningful non-4-h experiences. May include participation in school, church/faith or community organizations. (1/2 page maximum) Year (s) Non-4-H Experiences
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