/ MFB 4-H Excellence in Agriculture Award Nomination Form

MFB 4-H Excellence in Agriculture Award Nomination Form

Nominations are due March 15.

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MFB 4-H Excellence in Agriculture Form

Judging

The Michigan Farm Bureau 4-H Excellence in Agriculture Award nominations will be judged by a committee made up of an agriculture industry representative, a state 4-H program staff member and a county 4-H program staff member using the following point scale: (100 total points possible)
• Biographical data (15 points)
• Advancing youth knowledge of agriculture practice and productivity (25 points)
• Excellence in developing youth for the future (25 points)
• Advancing youth service and leadership (25 points)
• 4-H club members or youth group achievement and recognition

Certification

Once the nomination form has been completed, it should be endorsed by a county, district or state MSU Extension staff member verifying that the nominated individual(s) are registered 4-H volunteers.

Nominee Biographical Information

(15 points)
Nominee name(s)*
Nominee's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Nominee's Phone
Nominee's Email
Name of 4-H club or group(s) for which nominee volunteers
County of nominee’s service
First year of Michigan 4-H volunteer service*
Check all of the 4-H agricultural program areas the nominee represents*
- Beef Cattle
- Dairy Cattle
- Goats
- Horses
- Plants, Soils and Gardening
- Poultry
- Rabbits
- Sheep
- Swine
- Veterinary Science
Name of person nominating*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Nominator Phone
Nominator Email
A copy of this nomination form will be emailed to this address.
Nomination Criteria

Please describe how the nominee excels in the following areas.
Advancing youth knowledge of agriculture practice and productivity (25 points)*
Describe how the nominee(s) advances youth knowledge of agriculture practice in ways that would develop youth skills and knowledge for pursuing agricultural careers. (1 page max)
Excellence in developing youth for the future (25 points)*
Describe how the nominee(s) exhibits excellence in 4-H volunteer leadership, including how the volunteer advances the 4-H guiding principles for positive youth development, empowers youth participation and ownership of club activities; develops a structured educational learning environment for 4-H members; maintains a 4-H club or group schedule that fully engages young people throughout the year; or any other ways in which you feel the nominee(s) shows excellence in advancing the social, emotional, academic or career development success of youth. (1 page max)
Advancing youth service and leadership (25 points)*
Describe how the nominee(s) advances youth citizenship through youth leadership or community service activity that contributes to the quality of life in their community. (1 page max)
4-H club members or group achievement and recognition (10 points)*
Describe how the nominee(s) fosters youth achievement and excellence in the areas of agriculture (e.g. state 4-H award winners, national award recipients or event participants, or other county, state or national recognition of youth achievement, etc.). (1 page max)
Nomination Certification
I certify that the above-named nominee for the Michigan Farm Bureau 4-H Excellence in Agriculture Award is eligible to be considered for this recognition as a registered volunteer for Michigan 4-H.
4-H Certification*
4-H Program Coordinator/Extension Educator Date County/District
MSU Extension Staff Email*
A copy of this nomination form will be emailed to this address.
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