2010 Shooting Sports Instructor Report Survey

1. NJ4H Shooting Sports Instructor Annual Report

Every 4-H Shooting Sports instructor/leader needs to submit the Club/Local Level 4-H Shooting Sports Instructor Report each year in order to remain on the mailing list and instructor list as an active 4-H shooting sports instructor. Even if the instructor does not teaching throughout the year they need to submit a report with the box checked “no teaching to report this year.”

This report is for the September 2009 to August 2010 Programing year.

Please be careful when filling out this form. There are two question that should only be answered by one of the club leaders, and the information is for the entire club.

Thank you for helping us obtain information that will help us to get funding and show support for our program.

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1. General Information

General Information Your Name
Your County
Your Club Name
The last year you were trained /certified
Current Email Address
Best way to reach you (Mail or Email)

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2. Did you teach or assist with classes, offered trainings or conducted any shooting sports programs in the 2009 / 2010 program year? This can include helping with a fair booth, working with clubs, camps or other 4-H shooting sports related activities .

Did you teach or assist with classes, offered trainings or conducted any shooting sports programs in the 2009 / 2010 program year? This can include helping with a fair booth, working with clubs, camps or other 4-H shooting sports related activities . I conducted classes and/or programs between September 2009 and August 2010

I did not conduct classes and/or programs between September 2009 and August 2010

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3. Which 4-H certification do you hold? (please check any and all current disciplines)

Which 4-H certification do you hold? (please check any and all current disciplines) Archery	Rifle	Living History	Muzzleloader	Shotgun	Coordinator	Assistant Instructor	National Instructor
If National or Assistant Instructor, please indicate discipline

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4. Are you the Lead Instructor / Club Leader of your club?

We need one instructor from each club to fill out questions 5 and 6 about your club numbers.Please talk to your club leader if you have any questions.

Are you the Lead Instructor / Club Leader of your club? We need one instructor from each club to fill out questions 5 and 6 about your club numbers.Please talk to your club leader if you have any questions. Yes

If you are not the club leader / lead instructor, please skip the next two questions. We only need a response from one Main Leader of your club.

5. IF YOU ARE NOT THE LEAD INSTRUCTOR /CLUB LEADER -PLEASE DO NOT ANSWER!

Here are some general questions about your club which met from September 2009 to August 2010: If you are not the lead instructor /club leader, please skip this question. Please only one response per club for questions 5 and 6.

IF YOU ARE NOT THE LEAD INSTRUCTOR /CLUB LEADER -PLEASE DO NOT ANSWER! Here are some general questions about your club which met from September 2009 to August 2010: If you are not the lead instructor /club leader, please skip this question. Please only one response per club for questions 5 and 6. Number of Registered Club Members
Number of Teen Leaders
Number of Assistant Instructors
Number of Adult volunteers helping your club (instructors and non instructors)
Number of club meetings per month average
Number of non club meeting per month (recreational shoots, field trips, etc.)
How many Club level presentations did your youth make last year? (can be non shooting sports related)
How many County level presentations did your youth make last year? (can be non shooting sports related)
How many State level presentations did your youth make last year?(can be non shooting sports related)

6. IF YOU ARE NOT THE LEAD INSTRUCTOR /CLUB LEADER -PLEASE DO NOT ANSWER!

County Fairs... this section is for hands on learning experiences at your county fairs, not individual presentations or displays. If you are not the lead instructor /club leader, please skip this question.Please only one response per club for questions 5 and 6.

IF YOU ARE NOT THE LEAD INSTRUCTOR /CLUB LEADER -PLEASE DO NOT ANSWER! County Fairs... this section is for hands on learning experiences at your county fairs, not individual presentations or displays. If you are not the lead instructor /club leader, please skip this question.Please only one response per club for questions 5 and 6. How many people (youth and adults)visited and/or participated in your club booth?
How many youth club members helped with your booth?
How many Adult volunteers helped with your booth?
How many total hours was your booth open for the fair? (if your booth was open from 9 to 5 daily, and there was 5 days of the fair, you would have 40 hours)

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7. Clubs... How many youth and how many club hours did you spend instructing youth in the following areas. This can be hands on teaching or instruction for your curriculm. If you did not teach, please enter "0" in the top field. Please round all answers up to the next hour. Please do not enter fractions or percents (example 4.5).

Clubs... How many youth and how many club hours did you spend instructing youth in the following areas. This can be hands on teaching or instruction for your curriculm. If you did not teach, please enter "0" in the top field. Please round all answers up to the next hour. Please do not enter fractions or percents (example 4.5). # of Youth you trained in Archery
# of Hours you spent training youth in Archery
# of Youth you trained in Rifle
# of Hours you spent training youth in Rifle
# of Youth you trained in Muzzle Loading
# of Hours you spent training youth in Muzzle Loading
# of Youth you trained in Shotgun
# of Hours you spent training youth in Shotgun
# of Youth you trained in Living History
# of Hours you spent training youth in Living History
# of Youth you trained in Wildlife / Hunting
# of Hours you spent training youth in Wildlife / Hunting

8. Camps... How many youth and how many hours did you spend per child instructing youth in the following areas ( for example, if you taught 100 youth, and each youth got 5 hours of instruction, you would indicate 100 youth and 5 hours)

Camps... How many youth and how many hours did you spend per child instructing youth in the following areas ( for example, if you taught 100 youth, and each youth got 5 hours of instruction, you would indicate 100 youth and 5 hours) # of Youth you trained in Archery
# of Hours you spent training each youth in Archery
# of Youth you trained in Rifle
# of Hours you spent training each youth in Rifle
# of Youth you trained in Muzzle Loading
# of Hours you spent training each youth in Muzzle Loading
# of Youth you trained in Shotgun
# of Hours you spent training each youth in Shotgun

9. Shooting Sports Clinics... (instruction with youth who were not members of your club)

Shooting Sports Clinics... (instruction with youth who were not members of your club) How many Clinics did you present or assist with?
What was the total of youth reach in clinics?
What was the total amount of time you taught in all the clinics?
What disciplines did you present?

10. Other Programs:
Please indicate any programs not covered by the above questions. Please remember to include which discipline, number of youth reached and how many hours of instruction each youth received.

Other Programs: Please indicate any programs not covered by the above questions. Please remember to include which discipline, number of youth reached and how many hours of instruction each youth received.

11. Highlights, comments and concerns:
Please let us know of any highlights of the year, great examples of programs, suggestions for programs / trainings, comments, concerns or questions.

Highlights, comments and concerns: Please let us know of any highlights of the year, great examples of programs, suggestions for programs / trainings, comments, concerns or questions.

If you do not submit a report each year you will be dropped from the 4 H shooting sports instructor list! The purpose of the report is both to have accurate data regarding number of youth impacted by the 4 H Shooting Sports program and to help states manage an active list of 4-H Shooting Sports instructors.

Thank you for your time in filling out this form

If you click "done" and it returns you to this page, then you may not have answered one of the required questions. You also may have entered a fraction or decimal in one of the fields. Please review the answers, and click done.

You will be taken to another screen when the process is complete.

2010 Shooting Sports Instructor Report

1. NJ4H Shooting Sports Instructor Annual Report

*1. General Information

*2. Did you teach or assist with classes, offered trainings or conducted any shooting sports programs in the 2009 / 2010 program year? This can include helping with a fair booth, working with clubs, camps or other 4-H shooting sports related activities .

*3. Which 4-H certification do you hold? (please check any and all current disciplines)

*4. Are you the Lead Instructor / Club Leader of your club?We need one instructor from each club to fill out questions 5 and 6 about your club numbers.Please talk to your club leader if you have any questions.

5. IF YOU ARE NOT THE LEAD INSTRUCTOR /CLUB LEADER -PLEASE DO NOT ANSWER!Here are some general questions about your club which met from September 2009 to August 2010: If you are not the lead instructor /club leader, please skip this question. Please only one response per club for questions 5 and 6.