First and last name(s) of Distinguished Leader(s). Can only be 2 persons if they are a couple. *
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Mailing Address (street/PO Box, City, State, Zip) *
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Email address *
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Write a 25-word narrative, written in the 3rd person, with name, county and impact the volunteer(s) has had on the 4-H program. This narrative will be included in the program. *
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Write a 50-word narrative, written in the 3rd person, with name, county and impact the volunteer(s) has had on the 4-H program. This narrative will be read aloud. *