WSU Extension > Ferry County > 4-H Youth Development Program – Ferry County > Outstanding 4-H Volunteer Leader of the Year Nomination Form

Outstanding 4-H Volunteer Leader of the Year Nomination Form

Recognition given to TWO Leaders of the Year – one from Ferry County 4-H and one from Colville Reservation 4-H at the State 4-H Leader Forum.
Local posters made to show at State Forum and Achievement Programs.
Nominations accepted from any actively enrolled 4-H leader or youth member in the Ferry County or Colville Reservation 4-H program.
Nominations are due to the WSU Ferry County Extension office or the WSU Colville Reservation
Extension office by August 16, no late nominations accepted.
Any Ferry County or Colville Reservation 4-H volunteer is eligible.

Form

Name of Nominee(Required)

First Last

4-H Club Name(Required)

Please Check One(Required)

Ferry County 4-H Leader

Colville Reservation 4-H Leader

What significant contribution has this leader made to 4-H?(Required)

Name of Nominator(Required)

First Last

Name of Nominator's Club

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone