4-H Golden Clover Application 2022
2022 California 4-H Golden Clover Awards  
Deadline: September 5, 2022 at 11:59 p.m.  

Submitted materials become the property of the California State 4-H Office and may be used for marketing and public relations purposes.  
 
ELIGIBILITY
Applicants must be members, volunteers, groups, or program staff. 4-H members must be at least 9 years old and currently enrolled    
4-H volunteers must be currently enrolled  
4-H groups: (groups are two or more 4-H members, volunteers, or 4-H program staff working together on a project, activity or event)  
4-H program staff and academics (academics are only eligible for the Staff Team Award).  

AWARD  
The Golden Clover award consists of a small monetary award, a Golden Clover medallion and label pin. Awardees will also be recognized on the State 4-H Website. Group recipients receive one monetary award and one medallion for the whole group, and one pin for each member of the team.
 
PROCESS
Applications must be submitted by September 5, 2022 at 11:59 p.m. All required information must be included.  
   
You will be asked to describe the nominee's 4-H involvement and how they meet the objectives of the applicable category. Nominators may provide up to three (3) URLs for supporting documents, videos or audios. Please have these links ready before you begin the survey.
   
The California State 4-H Office typically notifies recipients in January 2023. Individuals and groups may apply or be nominated in multiple categories through separate applications. Individuals and groups may win in only one category per year. Individuals or groups may apply or be nominated in any applicable category. Individuals and groups may only win once in a category every three years. Individuals are eligible to win as an individual and as part of a group in the same year. The selection committee reserves the option of moving applications to another category if they feel it would be a better match. All available awards may not be given each year. Awards depend on funding, application evaluation and benchmarks.  
 
RECIPIENTS
Upon notification of award, selected individuals and groups should be prepared to provide the following:   Social Security Number (for individuals) or Tax Identification Number (EIN) of the related County or Sectional Council (for groups) Photograph(s) of the individual or group  Awards will be sent after all required information and materials are submitted to the State 4-H Office and typically by January following the award year.
 
Questions?
Contact Gemma Miner at gmminer@ucanr.edu or Kate Lyn Sutherland at katelland@gmail.com     

It is the policy of the University of California (UC) and the UC Division of Agriculture & Natural Resources not to engage in discrimination against or harassment of any person in any of its programs or activities (Complete nondiscrimination policy statement can be found at http://ucanr.edu/sites/anrstaff/files/215244.pdf) Inquiries regarding ANR’s nondiscrimination policies may be directed to UCANR, Affirmative Action Compliance & Title IX Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1343.    


Sign in to Google to save your progress. Learn more
County of Nominee *
Nominee's First and Last Name or First and Last Name of Group Leader *
If Group Award Nomination, Name of Group
Nominee's Email or Group Leader Email *
Is the nominee a 4-H member, adult volunteer, group or staff or staff team? *
Are you nominating yourself (you are both the nominee and the nominator)? *
Which award are you nominating the ADULT nominee for? (Skip if nominating for another category)
Clear selection
Which award are you nominating the YOUTH MEMBER nominee for? (Skip if nominating for another category)
Clear selection
Which award are you nominating the GROUP nominee for? (Skip if nominating for another category)
Clear selection
Which award are you nominating the PROGRAM STAFF and/or ACADEMIC ADVISOR nominee for? (Skip if nominating for another category)
Clear selection
Nominator First and Last Name (Skip if you are both the Nominee and Nominator)
Nominator Email (Skip if you are both the Nominee and Nominator)
Please describe how the nominee meets the objectives of the applicable category. Evaluators will not know your specific program. Tell a story to engage the reader. The more specific you are in relating the body of work to the intent of the award category, the easier it is for evaluators to understand and score your nominee. *
URL to supporting document, video, or audio file
URL to supporting document, video or audio file
URL to supporting document, video or audio file
By entering my name here, I assert that the information contained in this application is accurate. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Davis. Report Abuse
Google Forms