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Annual Summary Form and Personal Information Page Home Address * City * Gender * Male Female State * Texas County * Anderson Andrews Angelina Aransas Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Cambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell Cottle Crane Crockett Croxby Culberson Dallam Dallas Dawson Deaf Smith Delta Denton Dewitt Dickens Dimmit Donley Duval Eastland Ector Edwards Ellis El Paso Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin Freestone Frio Gaines Galveston Garza Gillepsie Glasscock Goliad Gonzalas Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris Harrison Hattley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houton Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox Lamar Lamb Lampasas LaSalle Lavaca Lee Leon Libery Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn Madison Marion Martin Mason Matagrda Maverick McCulloch McLennan McMullen Medina Menard Midland Milam Mills Mitchell Montague Montgomery Moore Morris Motley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange Palo Pinto Panola Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan Real Red River Reeves Refugio Roberts Robertson RockwallRunnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry ThrockmortonTitus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala Zip Code * Date of Birth * 4-H Information Name of 4-H Club * Current 4-H Year * 2010-2011 2011-2012 2012-2013 Total Years in 4-H * 1 2 3 4 5 6 7 8 9 10 11 12 Years in Main Project * 1 2 3 4 5 6 7 8 9 10 11 12 Recordbook Category Entering * Citizenship Leadership Public Speaking Photography and Videography Theater and Performance Arts Clothing and Textiles Consumer Education Family Life Education Housing and Home Environment Forestry Natural Resources Outdoor Education Range Science and Management Shootng Sports Sportfishing Water Wildlife and Fisheries Youth Entrepreneurship Recreation Workplace Preparation/Careers Global Education and Awareness Companion Animals Dog Care and Training Poultry Rabbits Beef and Dairy Cattle Goats Horse Sheep Swine Horticulture Soil and Crop Science Biological Science Computer Science Entomology Meat Science Veterinary Science 4-H Age Division * Clover Junior Intermediate Senior Leadership List what you did to assist others throughout this 4-H year. Also include general leadership such as Club Officer, County 4-H Council, or County Committees on your main project record. Include elected/appointed and volunteer leadership. Activity Date Level Leadership Role Responsibilities/ Duties/ Accomplishments Number of People Reached/ Taught/ Served Hours Club County District Region State National International Elected Appointed Volunteer Club County District Region State National International Elected Appointed Volunteer Club County District Region State National International Elected Appointed Volunteer Club County District Region State National International Elected Appointed Volunteer Club County District Region State National International Elected Appointed Volunteer 4-H Promotion List meaningful 4-H promotional activities which include: exhibits, television, radio, newspaper, internet, presentations, flyers, brochures, posters, and recruitment. Activity Date Level Promotional Activity (radio, flyer, etc.) Responsibilities/ Duties/ Accomplishments Number of People Reached/ Taught/ Served Hours Club County District Region State National International Club County District Region State National International Club County District Region State National International Club County District Region State National International Club County District Region State National International Community Service List community service or service learning projects which might include: clean ups, collections, repairs, construction, care packets, visitations, education, donations, presentations. Activity Date Your Role Service Activity Importance and Impact Hours Yourself Member Primary Yourself Member Primary Yourself Member Primary Yourself Member Primary Yourself Member Primary College/Career Exploration and Preparation List activities that have helped you to learn more about careers or the necessary education to enter this career. Examples of activities include: interviews, tours, shadowing, research, mentoring, work experience, skill development, course work, etc. Activity Date College/ Career Exploration Activity Knowledge or Skills Gained Hours 4-H Honors List all awards and recognition received in this 4-H year. Activity Date Level of Award Award Importance To You Club County District Region State National International Club County District Region State National International Club County District Region State National International Club County District Region State National International Club County District Region State National International Non-4-H Activities List non-4-H activities you have participated in during this 4-H year. You may include information related to school organizations, sports, church, community involvement, work experience and any other activities you have done that were not sponsored by 4-H. Please provide any honors or awards you received for each activity where applicable for the current year. Activity Honors / Awards (if applicable) Affiliation (school, sports, church, community, job, etc.) Enter the code as it is shown above: