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| ABOUT 4-H | VOLUNTEERS |
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Cloverbud Activity Record For a printable version of this form click here
University of Maine Cooperative Extension
My name is_____________________________________________________________ My birthday is: month__________ day_________ year_______ My 4-H age is:_____ My 4-H club or group is___________________________________________________ My county is____________________________________________________________ 4-H Activities in my record are: __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________
4-H Life Skills I used in my activities this year:Here is how I used the four Hs from the Life Skills Wheel in my activities this year: (continued) Head: __________________________________________________________________ __________________________________________________________________
__________________________________________________________________ Heart: __________________________________________________________________ __________________________________________________________________
__________________________________________________________________ Hands: ____________________________________________________________ __________________________________________________________________
__________________________________________________________________ Health: ____________________________________________________________ __________________________________________________________________ __________________________________________________________________
Name_________________________________ My 4-H Story aboutMy __________________Activity(Use a separate page for each activity listed on the front)
What did you do?_______________________________________________________________ _______________________________________
What did you learn? ______________________ _______________________________________ _______________________________________
What did you like best about the activity? _______________________________________ _______________________________________ _______________________________________
Name_________________________________ Attach a photo or drawing about your activityWhat does your photo or drawing show?_______________________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Name_________________________________ For more information on educational programs in your area, contact your county Extension office |
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