Kansas 4-H Permanent Record Bring up to date at the end of each year. Name Address Birth Date Club County/District Section 1—Groups/Organizations List all groups/organizations you participated in, i.e. 4-H, school, community and/or faith. If the group is non 4-H related enter an * in the non 4-H column. For each group, list elected offices (such as reporter, vice president, etc.) and other positions or roles you held (such as junior project leader, project leader, committee chairman or committee participant). Indicate the total number of meetings held, the number you lead and the number of meetings you attended in the appropriate level column. Hours (includes preparation, organization, practice and activity time, but does not include travel, sleeping, meals, etc.) are optional, but may be useful for other applications. This section is used to complete the Meetings, Committees, Offices part of Section 3 and Section 5 in the KAP. Level Optional District 4-H Regional Meetings, Committees, Offices, Non Held Attended Date Leadership Roles = Led National/Int’l Area/ Hours * # # # County/ Local State
Kansas 4-H Permanent Record Bring up to date at the end of each year. Name Address Club County/District Birth Date Section 1—Groups/Organizations List all groups/organizations you participated in, i.e. 4-H, school, community and/or faith. If the group is non 4-H related enter an * in the non 4-H column. For each group, list elected offices (such as reporter, vice president, etc.) and other positions or roles you held (such as junior project leader, project leader, committee chairman or committee participant). Indicate the total number of meetings held, the number you lead and the number of meetings you attended in the appropriate level column. Hours (includes preparation, organization, practice and activity time, but does not include travel, sleeping, meals, etc.) are optional, but may be useful for other applications. This section is used to complete the Meetings, Committees, Offices part of Section 3 and Section 5 in the KAP. Level Optional Date * = Non 4-H Meetings, Committees, Offices, Leadership Roles # Held # Led # Attended Local County/ District Area/ Regional State National/Int’l Hours
Permanent_Record.docx