4-H Leader Personal Activity Evaluation

4-H LEADER PERSONAL ACTIVITY EVALUATION

Consider Activities from August 1st last year through July 31st this year.

Club Leaders - submit to General Leader Key Committee Members - submit to UWEX office

NAME (print) ______DEADLINE: August 1

All ShawanoCounty Leaders

Circle

Must have attended the Youth Protection ProgramYes No

Must be currently enrolled as a 4-H LeaderYes No

Must have anannual 4-H Volunteer Expectation Form signedYes No

Must be involved with youth, other than your ownYes No

Complete this section if you are a:

General Leader or Co-General Leader or Key Committee Member

NumberHours

General Leader/Co-General Leader

Number of meetings attended______

Average length of meetings______

Number of meetings for which you were leader______

Estimated preparation time per meeting (officers/leader/chair) ______

Key Committee Member

Number of meetings attended______

Average length of meetings______

Number of meetings for which you were leader______

Estimated preparation time per meeting (officers/leader/chair) ______

Board Member

Number of meetings attended______

Average length of meetings______

Estimated preparation time per meeting (officers/leader/chair) ______

County Leader Meetings Attended______

Countywide workshops/clinics/events you planned or had leadership involvement in (list)

______

State or National Activities/Meetings (list)

______

TOTAL hours for this section.______

Complete this section if you are a:

Project or Activity Leader

NumberHours

CountyLeader’s Meetings Attended______

Examples: Project meetings. Coordinators of any of the following: Drama Festival, Music Festival, Communication Expo, Club food stand coordinator, Roadside clean-up organizer, Club trip organizer, Softball coach, Parade coordinator. (Does not include time spent solely with immediate family members).

NumberHours

Project/Activity ______

Meetings held______

Average preparation/clean-up time______

Project/Activity ______

Meetings held______

Average preparation/clean-up time______

Project/Activity______

Meetings held______

Average preparation/clean-up time______

Project/Activity______

Meetings held______

Average preparation/clean-up time______

TOTAL hours for this section.______

Fair Volunteer Time

Project AreaHours

Volunteer Activities Assisted With:

Set-up/Clean-up______

Assist Judges______

WatchJuniorFairBuilding______

Other: ______

______

TOTAL hours for this section.______

Signature: ______Date:______

Comments: ______

General/Co-General Leader recommendation for fair pass ...... YES NO

Executive Board recommendation for fair pass ...... YES NO

Comments: ______

______

General Leader SignatureExecutive Board Signature