Instructions:
Print out the form, fill out the the information,
sign the form, and mail it to your local
4-H office.
Name
_________________________________________
Street
_________________________________________
Town/City
_________________________________________
Zip
Code
_________________
4-H
Project Year
_________________
Name
of Club/Group
_________________________________________
Leader/Volunteer
Signature
_________________________________________
Write
a story about your 4-H experiences. You may write about new
things that you have learned and exciting experiences that you
have had. If you prefer, you may draw, use photographs or stickers
to tell your story. (Pages may be added if desired.)
On
the left, list 4-H and non 4-H events and activities that you
did during this current 4-H year. In the right hand column write
about what you learned from that activity. You may choose to use
photographs and/or stickers to describe your involvement.
What
I did:
activity
field
trip
demonstration
other
How
I did it:
a
skill used
another
way to do something
learned
something new
other
Example:
Favorite
Foods Day
1
Jar of Strawberry Jam
(Finished
Product)
Example:
I
learned how to make a healthy spread from the fruit I picked
in the garden.
