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4-H Citizen of the Year Award

4-H Citizen of the Year Award

Name ________________________________________                  Age: _______

Club: ___________________________________________________________________

Explain the type of leadership and/or citizenship activities you were involved during the past year?

How did these activities make a difference in the community or benefit others?

What did you enjoy most or learn as a result of your citizenship/leadership experience?

Completed by ______________________________________

Award presentation will be made during 4-H Achievement Night.

North Carolina State University and North Carolina A& T State University commit themselves to positive action to secure equal opportunity regardless of race, color, religion, creed, national origin, sex, age, disability, or veteran’s status.  In addition, the two Universities welcome all person without regard to sexual orientation.  North Carolina State University, North Carolina A& T State University, U.S. Department of Agriculture, and local governments cooperatingPersons with disabilities and persons with limited English proficiency may request accommodations to participate by contacting George Place, County Extension Director, at 828-465-8240 or gtplace@ncsu.edu or fax at 828-465-8428, or in person at the office at least 10 days prior to the event.