Racine County 4-H Ambassador Application

Applicants must submit the Ambassador Application form by 11:59 p.m. on Wednesday, September 13, 2023. Late forms will NOT be accepted. Racine County 4-H Ambassadors & advisors reserve the right to open additional rounds of applications during the 4-H year.


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Email *
Full Name (First & Last) *
Grade (2023-2024 School Year) *
Cell Phone Number *
This will be used only for the purpose of communications for meetings & events (ie. parade lineup locations)
Email Address *
4-H Club *
Number of Years in 4-H *
Ambassadors have monthly meetings, participate in parades and other outreach events, as well as the Racine County Fair.   Do you have a job or other non 4-H commitments that we should know about for your availability (examples: Work, sports, etc.) *
Parent's Name *
Parent's Phone Number *
Parent's Email address *

4-H Member Agreement: I have read the duties of the 4-H Ambassador in the letter and agree to participate in the program. If I don't fulfill the requirements (determined by the Ambassador team), then I may be removed from my position.


 *
Parent agreement: Has your parent(s)/guardian(s) read the duties of the 4-H Ambassador and agree to support this applicant if you are selected to represent Racine County 4-H? *
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