{"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: Ages 12 and under as of October 1\r\nTeen Leadership: 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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