Virginia Beach Outstanding 4-H Member Award Application
Only list activities performed from October 1, 2022 through September 30, 2023. Outstanding Member Applications are due to the Virginia Beach Extension Office or online by December 2, 2023 at 5:00 p.m. You may submit the paper form application or electronic version.

In order to be considered for this award, you must have attended at least 75% of the club meetings, must do at least one community service project, and must participate in at least one city-wide activity.
 
To be eligible for Outstanding City-wide Member Award, 4-H'ers must fall within the top 50% of your age group (junior, intermediate and senior). To be eligible for the Herbert W. Ozlin Award, members must fall within the top 25% of your age group. Seniors (15-18) who are recipients of the Herbert W. Ozlin Award are eligible for the I Dare You Award, which is presented to no more than two senior 4-H members annually. You may only receive this award once during your 4-H career.  

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Email *
4-H Member Full Name (First and Last) *
Age Division: *
Required
Select the response that best applies to your 4-H Club attendance for the 2021-2022 4-H Year. *
Required
Enter 4-H Club name(s) where you attended 100% of   4-H Club meetings. *
Enter 4-H Club name(s) where you attended 75% of   4-H Club meetings. *
Have you participated in 4-H community service project? (1pt for each community service project) *
Required
Describe your community service project(s) - include name, date, and location.  Donating canned goods, etc., at each meeting only counts as one point for the year per club, i.e., Club A=1pt, Club B=1pt.  Be specific in what role you played with each fundraiser. *
Have you served as a 4-H club officer? (3pts earned for each position held) *
Required
List your officer position(s) *
Have you served as a 4-H committee chair? *
Required
List your served committee chair position(s) 2 pts earned for each served position. *
Have you been a member of more than one 4-H club? *
Required
Select the 4-H club(s) in which you were a member? (2pts earned for each membership in a different 4-H club) Remember, your participation must fall between October 1 of 2021 and September 30 of 2022. *
Required
Have you delivered a 4-H presentation to your club or another organization? [ Presentations typically last 2-5 minutes (Juniors – 9-11); 5-8 minutes (Intermediates - 12-13); and 8-15 minutes (Seniors – 14-19). ]     **Also, if you have taught a class at 4-H Junior Camp as a counselor or CIT, it can be listed and counted here.** *
Required
List each presentation and group name, date, and location.  (2 points earned for each presentation given to a 4-H club or other organization) *
How many actual 4-H club project meetings have you attended? (NOT business meetings)  List each project meeting along with the date and location. (1 point earned for each club project meeting you attended) *
Please list your active 4-H participation (not attended only) in club project meeting(s),  club shows or competitive events with live judging. Examples: brought animal for exhibition/display at project meeting or workshop; showed animal at the VB Livestock Show and Sale, beekeeping demonstration, prepared garden beds for planting, shooting sports demonstrations or competitions, etc.  List each project meeting and role at each meeting/event. List each project meeting along with the date and location.  (2 points earned for each active participation in a club project meeting) *
Have you received any 4-H awards and recognition at the CLUB level? Certificate, ribbons, trophies, etc.   *
Required
List each award and date. If you received multiple animal awards, list each separately.   (2 points earned for each award listed)   *
Select the areas where you received any 4-H awards and recognition. Certificate, ribbons, trophies, etc.   *
Required
List each 4-H award and recognition you received at the City, District, State, National, and International level. Include the date separately. Awards can include certificates, ribbons, trophies, etc. (2 points earned for each award listed) *
Q23 Have you participated (not attended only) in a 4-H city-wide event?  (3 points earned for each event) *
Required
Have you participated (not attended only) in any City-wide leadership training?  Example: City-wide officer training, camp counselor/CIT training, etc. *
List each event/training along with the date and location.(3 points earned for each event) *
Have you participated (not attended only) in 4-H District or 4-H State Activities?  (3 points earned for each event) *
Required
Have you participated as a 4-H’er in a National/International event?  (10 points earned for each National/International event) *
Required
Have you participated as a 4-H’er in another county/city show(s)? *
List each 4-H show along with the event and location in which you participated. (10 points earned for each county/city) *
Have you served as a 4-H District or State 4-H Ambassador in the past year?   (10 points earned for each position) *
Have you served as a CIT/Counselor at any 4-H Camp in the past year? (5 points earned for each position served) *
Have you submitted a 4-H project record book for evaluation? (5 points earned for each record book) *
Have you participated in recruitment and promotion of 4-H? (2 points earned for each event) *
Required
Are you a member of other organizations outside of 4-H? For example: school, church, scouts, sports, etc.   (1 point earned for each membership) *
Describe any other organizations in which you are a member: *
Have you volunteered your time before and /or after a 4-H event?  (2 points earned for each event) *
Required
I promise that I have entered all the points for which I have claimed credit and was honest in all responses.  If yes, please sign below. *
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4-H Member Signature: (please type full name) *
A copy of your responses will be emailed to the address you provided.
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