Name ______Date ______

You are a special person to our 4-H club. We need your help! Please check the items below that interest you or are a part of your experiences in life. This will help our 4-H club benefit from your interests, hobbies, talents and experiences! Thank you for your interest!

4-H Projects

____ Cloverbuds (Ages 5-7)

____ Animal Sciences

____ Beef_____Cats____ Dairy____ Dogs

____ Goats____ Horses____ Poultry____ Rabbits

____ Sheep____ Small Pets____ Swine____ Vet Science

____ Community Involvement and Global Awareness

____ Citizenship____ Intercultural____ Public Adventures

____ Service Learning

____ Environment and Natural Resources

____ Camping and Outdoor Living____ Conservation____ Entomology

____ Forestry____ Geology____ Wildlife

____ Natural Resources____ Sportfishing

____ Food, Nutrition, and Health

____ Food and Nutrition____ Health

____ Home and Family

____ Child Development____ Clothing and Textiles____ Consumer Education

____ Family Relations____ Fashion Revue____ Intergenerational

____ Interior Design

____ Mechanics and Technology

____ Aerospace____ Bicycle____ Computer Science

____ Electricity____ Safety____ Small Engines

____ Tractor____ Woodworking

____ Personal Development

____ Journalism____ Public Presentations____ Photography

____ Theatre/Performing Arts____ Recreation____ Visual Arts

____ Leadership_____ Communications

____ Plants and Soils

____ Crops____ Flower Arranging____ Flower/Herb Gardening

____ Horticulture____ Plant/Soil Science____ Fruit Gardening

____ Vegetable Gardening

(over)

Skills/Talents

____ Conducting group mixers/recreation____ Singing

____ Preparing/serving refreshments____ Managing group behavior

____ Playing an instrument____ Typing

____ Talking on the telephone____ Operating a calculator

____ Working on the computer____ Filling out forms

____ Caring for young children____ Driving a van/car

____ Planning/organizing ____ Directing work of others

____ Keeping track of deadlines____ Keeping records

____ Other ______

Community Functions/Leadership

____ Helped with another youth group____ Helped with a fundraiser

(i.e., Boy Scouts, Girl Scouts, Faith, etc.)____ Helped with a sports team

____ Organized a camping trip for youth____ Organized a field trip or tour

____ Organized a service project____ Organized/held a yard sale

____ Participated in a community group/club____ Planned a community supper

____ Helped with a community garden____ Participated in PTA/PTO

____ Participated in a neighborhood organization____ Other ______

______

Creative Activities

____ Helped with fundraisers____ Sold products or services

____ Recruited helpers for a project____ Recruited kids for a youth group

____ Other ______

Personal Preferences

____ Time Available____ Where Available

____ One time per week____ At club meeting

____ One time per month____ In my neighborhood

____ One time per year____ In my home

____ Preference:____ I Need this Help

____ Work with young people____ Training

____ Work with adults____ Child care

____ Work alone____ Transportation