FUNDING APPLICATION FOR CITIZENSHIP WASHINGTON FOCUS Grades 10-12

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Citizenship Washington Focus is an opportunity for youth to come together to exchange ideas, form
friendships, and travel to Washington, D.C. to learn about our country, our nation’s capital, and how our
government works. During our trip, we would stay at the National 4‐H Center.

COMPLETE THIS FORM BY AUGUST 31

Member Name (Last, First, Middle I)

Street Address or PO Box Number

City State Zip

Phone Number

Age on January 1 of this year

Grade this fall

Years in 4-H

Name of Parent or Guardian

Name of Primary 4-H Club

Project Listing - Please list projects that you have enrolled in, indicate years, and, if presently enrolled.

Project, Number of Years, Currently Enrolled

Please list some of your accomplishments.

What are some things you have learned when participating in your projects?

Please list additional non-fair 4-H activities that you have participated in (club officer, camp counselor, L.E.A.D.S., Teen Winter Camp, Leaders Federation, etc.) with number of years.

Please list non-4-H activities that you have been active in (school, sports, church, volunteering etc.) with number of years.

Why do you think you would be a good representative of Marathon County?

When studying about our government in school, what did you find interesting?

How will you share your trip experience with others? How will you encourage others to apply for 4-H trips and leadership experiences?

Must also submit Preference Form.

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