FRIEND OF 4-H NOMINATION FORM	2017

(Nominate people or businesses who contribute time, money, support or other resources to the county 4-H program and are not registered 4-H leaders.) Certificate and award provided by the Wisconsin 4-H Foundation through support of Farm Credit Services.

Nomination Form:

Nominee:_____________________________________________________________________

Address:_________________________________________________________ZIP_________

Occupation/Business:____________________________________________________________

Nominated by (name and club):____________________________________________________

Phone:_______________________ Email: ___________________________________

Briefly describe the contributions and/or positive impact this person has made as a "FRIEND OF 4-H" (feel free to use additional sheets):

Please share how this nominee models character and professional behavior when interacting with 4-H members and volunteers.

Does this person or business promote life skill development? Please explain.