Missouri 4-H Century Family

Transcription

1 Missouri 4-H Century Family The Missouri 4-H Century Family program recognizes 4-H families with a long, sustained involvement in the 4-H program. Missouri 4-H Families with a combined 100 years or more of membership and/or volunteer service in 4-H will be recognized. Applications can be submitted at any time, although they must be submitted by July 4 to be recognized during National 4-H week of the current calendar year. The program is coordinated by the Missouri 4-H Foundation and the Missouri 4-H Center for Youth Development. Recognition will take place on the county level. 4-H that are Applicable: Direct-line family members are considered. Aunts and uncles, cousins, etc may not be considered. Stepparents, stepchildren or adopted children may be included. Supporting documentation is not necessary. Paid staff years (extension or other) do not qualify. In some instances, local Extension Homemakers or Farm Bureau members committed significant time and energy to establishing and leading local 4-H Clubs. of service to 4-H in those capacities are applicable. years devoted to 4-H Club work on the county, regional or state levels are applicable. 4-H membership or leadership in Missouri or other states can be included. as an enrolled Clover Kid or Clover Bud may be counted. Submit completed application to the local University of Missouri Extension Center or to: Missouri 4-H Foundation 819 Clark Hall Columbia MO Phone: 573/ hfoundation@missouri.edu

2 Example: Relationship Chart Section 1 Start with the most recent family members involved with the 4-H program as generation 1. Show only family members who are or were 4-H members or volunteers. List additional details for each individual beginning in Section 2. Generation One (most recent) Jim Johnson Sally Johnson Snappy Johnson Susie Caleb Johnson Parents Grandpa Jake Granny Bette Gerald Smith Kathy Smith Grandparents

3 Children Example Application Jim Johnson Sally Johnson Year of Missouri 4-H Century Family Section Marion, MO Mt Zion 4-H yrs Marion, MO Mt Zion 4-H Parents Snappy Johnson Susie Johnson 1965 Ravalli, MT Summerdale yrs yrs Marion MO 1965 Marion, MO Mt Zion 4-H Grandparents Grandpa Jake 1341 Summerdale Corvallis MT Granny Bette 1341 Summerdale Corvallis MT Gerald Smith (deceased) Kathy Smith (deceased) 1943 Ravalli, MT Darby Pioneers yrs 1944 Ravalli, MT Summerdale yrs yrs yrs Ravalli, MT Darby Pioneers Ravalli, MT Darby Pioneers (To be eligible, must equal or exceed 100 years) Grand total: 116

4 Relationship Chart Section 1 Start with the most recent family members involved with the 4-H program as generation 1. Show additional details for each individual beginning in Section 2. Generation One Parents Grandparents

5 Family Name: Missouri Century 4-H Family Section 2 Please designate the Missouri County through which you would like to be recognized: Year of Children Generation #1 Attach additional sheets wherever necessary. Additional forms available at - continued -

6 Year of Grandparents Parents - continued -

7 Year of Great Grandparents (To be eligible, must equal or exceed 100 years) Grand total: Name and address of person submitting the application: Home Phone Date Submitted Attached additional documentation to form (not required).