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4-H County Council Officer Form

County Council Officer Form
Complete this form and return to the N.C. Cooperative Extension, Catawba County Center BEFORE the January County Council meeting, when officer elections are held. Complete the information as neat and completely as possible. In order to serve as an officer, members should be enrolled in 4-H for at least 6 months and previously attended 4-H County Council.

Check the senior (ages 12 and older) office you would like to run for:
_____President
_____Vice President
_____Secretary
_____Reporter

Check the junior office (ages 9-12) you would like to run for:
_____President
_____Vice President
_____Secretary
_____Reporter

Name_____________________________________________Age__________

4-H Club(s) _____________________________________________________

Number of years in 4-H ___________________

Offices or leadership roles you have held:
__________________________________________________________________________

__________________________________________________________________________
4-H Accomplishments or Awards:
__________________________________________________________________________

__________________________________________________________________________
4-H Activities:
__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Why do you want to be a County Council Officer and why do you think 4-H’ers should elect you to a County Council Office:
__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

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 cooperating. Persons 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.