4-H Innovative Ideas (ie. Create a scavenger hunt based on the historical sites visited; write a paragraph about a historical landmark for your Agent to publish in a newsletter, etc.) Year County Purpose/ result Skill/ knowledge gained C M/D S N Total 1 pt 2 pts 3 pts 4pts Points Total Innovative Citizenship Points Extended Citizenship Activities Outside of 4-H (Limit of 5 points per year) Provide information about other significant citizenship experiences you have had beyond your 4-H involvement: Year External citizenship Significance Skill/ knowledge learned C M/D S N Total activity 1 pt 2 pts 3 pts 4pts Points Total Extended Citizenship Points CITIZENSHIP TOTAL Total Capitol Visitation Points Total Meeting Points Total Campaign Points Total Landmark Visitation Points Total Innovative Citizenship Points Total Extended Citizenship Points CITIZENSHIP TOTAL COMMUNICATION/MARKETING 4-H Communication Contest (ie. Talks, Demonstrations, etc.) Year Type of Skill/ knowledge learned C M/D S N Total Contest 1 pt 2 pts 3 pts 4pts Points Total Communication Contest Points
4-H Innovative Ideas (ie. Create a scavenger hunt based on the historical sites visited; write a paragraph about a historical landmark for your Agent to publish in a newsletter, etc.) Year County Purpose/ result Skill/ knowledge gained C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Innovative Citizenship Points Extended Citizenship Activities Outside of 4-H (Limit of 5 points per year) Provide information about other significant citizenship experiences you have had beyond your 4-H involvement: Year External citizenship activity Significance Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Extended Citizenship Points CITIZENSHIP TOTAL Total Capitol Visitation Points Total Meeting Points Total Campaign Points Total Landmark Visitation Points Total Innovative Citizenship Points Total Extended Citizenship Points CITIZENSHIP TOTAL COMMUNICATION/MARKETING 4-H Communication Contest (ie. Talks, Demonstrations, etc.) Year Type of Contest Skill/ knowledge learned C 1 pt M/D 2 pts S 3 pts N 4pts Total Points Total Communication Contest Points
general_application_revised_5.docx