{"id":28852,"date":"2026-09-01T14:54:20","date_gmt":"2026-09-01T21:54:20","guid":{"rendered":"https:\/\/extension.wsu.edu\/skagit\/?page_id=28852"},"modified":"2026-09-01T14:54:20","modified_gmt":"2026-09-01T21:54:20","slug":"4-h-junior-and-teen-leadership-pin-application","status":"publish","type":"page","link":"https:\/\/extension.wsu.edu\/skagit\/4-h-junior-and-teen-leadership-pin-application\/","title":{"rendered":"4-H Junior and Teen Leadership Pin Application"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme' id='gform_wrapper_46' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">4-H Junior and Teen Leadership Pin Application<\/h2>\n                            <span class='gform_description'>Junior and Teen Leadership Pins recognize 4-H members who demonstrate leadership within their club and\/or county. Requests must be submitted by the member&#8217;s main club leader by the first Monday in October.\r\n\r\nJunior Leadership is for youth ages 12 and under as of October 1, and Teen Leadership is for youth ages 13 and older as of October 1.<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_46'  action='\/skagit\/wp-json\/wp\/v2\/pages\/28852' >\n                        <div class='gform_body gform-body'><div id='gform_fields_46' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_46_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_1\"><legend class='gfield_label gfield_label_before_complex'  >4-H Member Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_46_1'>\n                            \n                            <span id='input_46_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_46_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_46_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_46_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_46_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_46_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_46_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_3\"><label class='gfield_label' for='input_46_3' >Primary 4-H Club<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_46_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_46_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_5\"><label class='gfield_label' for='input_46_5' >Age as of October 1st<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_5' id='input_46_5' type='text'    value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_46_6\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_6\"><legend class='gfield_label'  >Leadership Pin Requested<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_46_6'>\n\t\t\t<div class='gchoice gchoice_46_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Junior Leadership Pin'  id='choice_46_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_46_6_0' id='label_46_6_0'>Junior Leadership Pin<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_46_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Teen Leadership Pin'  id='choice_46_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_46_6_1' id='label_46_6_1'>Teen Leadership Pin<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_46_7\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_7\"><label class='gfield_label' for='input_46_7' >Which year of Junior or Teen Leadership did the member just complete?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_46_7' class='large gfield_select'  aria-describedby=\"gfield_description_46_7\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='1st Year' >1st Year<\/option><option value='2nd Year' >2nd Year<\/option><option value='3rd Year' >3rd Year<\/option><option value='4th Year' >4th Year<\/option><option value='5th Year' >5th Year<\/option><option value='6th Year' >6th Year<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_46_7'>How to determine the year: The number marker represents the number of years the member has participated at their current leadership level. A first-year Junior or Teen Leader receives the corresponding Leadership Pin and a #1 marker. Each consecutive year at that level earns the next number marker.\n\nWhen a Junior Leader advances to Teen Leadership, they receive a Teen Leadership Pin and begin with a #1 Teen Leadership marker, regardless of how many years they previously served as a Junior Leader.<\/div><\/div><fieldset id=\"field_46_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_8\"><legend class='gfield_label'  >Leadership Project- Was the youth enrolled in the 4-H Leadership Project during the current 4-H year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_46_8'>\n\t\t\t<div class='gchoice gchoice_46_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Yes'  id='choice_46_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_46_8_0' id='label_46_8_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_46_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='No'  id='choice_46_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_46_8_1' id='label_46_8_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_46_15\"  class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_15\">You are not currently eligible to complete this application because this requirement has not been met.<\/div><fieldset id=\"field_46_9\"  class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_9\"><legend class='gfield_label'  >Leadership Participation- Did the youth demonstrate leadership within their club and\/or county during the current 4-H year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_46_9'>\n\t\t\t<div class='gchoice gchoice_46_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_46_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_46_9_0' id='label_46_9_0'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_46_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  id='choice_46_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_46_9_1' id='label_46_9_1'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_46_16\"  class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_16\">You are not currently eligible to complete this application because this requirement has not been met.<\/div><div id=\"field_46_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_10\"><label class='gfield_label' for='input_46_10' >Briefly describe how this member demonstrated leadership during the 4-H year.* Paragraph response<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_46_10' class='textarea large'  aria-describedby=\"gfield_description_46_10\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_46_10'>Please provide one or two examples of the member&#8217;s leadership within their club and\/or county.<\/div><\/div><fieldset id=\"field_46_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_11\"><legend class='gfield_label gfield_label_before_complex'  >Leader Verification- Main Club Leader Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_46_11'>\n                            \n                            <span id='input_46_11_3_container' class='name_first' >\n                                                    <input type='text' name='input_11.3' id='input_46_11_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_46_11_3' 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<\/div><\/div><fieldset id=\"field_46_13\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_46_13\"><legend class='gfield_label gfield_label_before_complex'  >Certification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_46_13'><div class='gchoice gchoice_46_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='I certify that I am the member&#039;s main club leader and recommend this youth for the Junior or Teen Leadership Pin indicated above.'  id='choice_46_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_46_13_1' id='label_46_13_1'>I certify that I am the member&#8217;s main club leader and recommend this youth for the Junior or Teen Leadership Pin indicated 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