Club Name______________________________________	20____

Name_________________________________ Year in 4-H______ Grade completed during project year:_______

CHECK ONE: ____Junior, 3rd-7th grade ____Senior, 8th grade and above

WAUPACA COUNTY RECORD BOOK AWARD APPLICATION FORM

NOTE: Attach this form to the front of the book or binder so it is visible for county record book judging

Please select UP TO THREE projects in which to be considered for an award. The over-all record book will be judged with special concern for the chosen project(s). Up to four (4) winners in the Junior and Senior divisions will receive awards in county competition by projects.

Check up to three projects:

_____	Adventures (Intro., Backpacking, Winter Travel, Canoeing, Bicycling)

_____	Aerospace/Rocketry

_____	Art

_____	Drawing & Painting

_____	Ceramics

_____	Other Arts (Metal Enameling, Stencil Painting, Adventures in Leathercraft, Block Printing, Basketry, Creative Stitchery, Macramé, etc.)

_____	Beef

_____	Cat

_____	Child Development

_____	Citizenship / Service Learning

_____	Clothing

_____ Communication Projects (creative writing, speaking) and Theatre Arts

_____	Computers

_____	Consumer Savvy

_____	Crocheting

_____	Crops

_____	Dairy

_____	Dog

_____	Electricity

_____	Entomology

_____	Exploring 4-H

_____	Fishing

_____	Flowers

_____	Foods and Nutrition

_____	Fruits

_____	Goat

_____	Home Environment

_____	Horse and Pony

_____	Horseless Horse

_____	Houseplants

_____	Intergenerational/International

_____	Knitting

_____	Music

_____	Naturespace/ Exploring Your Environment (Intro., Getting to Know Birds, Forestry, Wildflowers)

_____	Pets

_____	Plant Crafts

_____	Photography

_____	Poultry (chickens)

_____	Rabbits

_____	Robotics

_____	Scale Models

_____	Self-Determined

_____	Sheep

_____	Shooting Sports

_____	Small Engines / Tractor

_____	Swine

_____	Turkey/Pigeons/ Waterfowl (ducks/geese)

_____	Vegetable

_____	Veterinary Science

_____	Woodworking

_____	Youth Leadership

_____	Other Project Not Listed _______________

_____	Other Project Not Listed _______________

_____	Other Project Not Listed _______________

You may also select. . .

_____ Junior Achievement for 7th graders. Submit ALL Previous years' Records

_____ Achievement--for graduates only. Submit ALL Previous years' Records

_____ Key Award (attach application & leader recommendation to record books)

_____ 4-H Leaders' Association Scholarship (attach application & leader recommendation to record books)

This application form may or may not be returned with member’s record book after county judging.