Toppenish Rotary Club Trophy Application Form Program Contact Autumn Britt, 4-H Program Manager Phone Number509-588-7817 Email Address • autumn.britt@wsu.edu Toppenish Rotary Club Trophy for Livestock & Home Economics Application Form Use this form to submit a 4-H club for consideration for the Toppenish Rotary Club Trophy. Deadline to submit nominations is Monday, October 13th 2025. Name of club being nominated:(Required) Name of club leader(s):(Required) Number of members in the club:(Required) Number of meetings held:(Required) Number of members completing projects:(Required) Number and kinds of exhibits completed by the club (i.e. Clothing-5, Dairy-2, etc.):(Required)Number and kinds of demonstrations completed by the club:(Required)Number of members who participated in judging contests:(Required) Placings, if known (i.e. Blue-2, Red-1, etc.):Number of members attending the 4-H Achievement Program:(Required) Number of members attending the District 4-H Rally:(Required) Number of members attending the State 4-H Conference:(Required) Number of members attending Workshop Saturday:(Required) As the leader submitting the application, please provide a general statement on your club's accomplishments for the year:(Required)Please list the leader functions attended by adult and junior leaders:(Required)Supporting documents: Drop files here or Select files Max. file size: 80 MB. Please upload any supporting evidence, such as photos, documents, designs, literature, social media posts, or any other evidence you feel would support your nomination. *If you are unable to upload to this form, please email supporting evidence to autumn.britt@wsu.edu OR send/drop off at the WSU Extension Office Δ Certificate of Appreciation Recommendation Form Honorary Leader Nomination Form Inez Walter Perpetual Traveling Trophy Nomination Form Lew Evans Memorial Trophy Nomination Form Marion Bunnell 4-H Fund Request – Yakima County Outstanding 4-H Leader of the Year Nomination Form Outstanding 4-H Teen Leader of the Year Nomination Form Outstanding First Year Club Award Nomination Form Recommendation for Medal of Honor Award Program Areas Toppenish Rotary Club Trophy Application Form