Nomination form to be completed by the Club Organizational Leader
Revised 2020.11, previous editions obsolete

Alternatively, download, complete, and return the Cascade County 4-H Awards Nomination Form
to the Extension office by September 1.

 denotes required fields.

MEMBER INFORMATION
LEADER INSTRUCTIONS
LEADER INSTRUCTIONS:

Place an X by the award(s) for which you are nominating your club member. After reviewing each member’s project book, 4-H Leaders may make nominations for Memorial Awards, 25 or 30-Year Leader Awards, and or Special Achievement Awards. A Seal of Excellence is required to earn any Memorial, 25, and/or 30-Year Leader or Special Achievement Awards.

Completing this form acts as a notification to the Cascade County 4-H Agent that the member’s Seal of Excellence Record Book and any required narratives will be turned in to the Extension Office by September 1.

Please contact Allyssa Zoern, Cascade County 4-H Agent at 406-454-6980 or allyssa.zoern@montana.edu.
MEMORIAL AWARDS
25 & 30-YEAR LEADER AWARDS
SPECIAL ACHIEVEMENT AWARDS
SIGNATURE


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