1. Things I'd Like To Learn!

Things I'd like to learn! Cornell Cooperative Extension's Student Interest Survey 3-2011.

Please note that all info provided will be used for future planning and program growth opportunities. This survey is for the 4H Youth.

* 1. My age is:

* 2. Please fill out the following information:

* 3. Things I'd like to do or learn about ... (check one circle for each of the following interest areas) * Please note that this info will be used for future planning and program growth opportunities.

My Beautiful World, Science, and Nature

  No, not me! Maybe fun! For sure! Sounds great!
Saving our environment - water, soil, air (field trips will include a variety of testing, etc)
Powering The Future - Alternative Energy
Gardening for fun, food, and business
How to build a robot! (robotics)
Animals - raising, care, showing, and profits
Forestry and Land Management - take me to the woods!
Fish and Wildlife - the great outdoors
Fossils and Rocks
Small Engines (repair and maintenance)
Woodworking (let's build something!)
Computers, inside and virtual navigation
All About Bugs - the good, the bad, and the not so ugly

* 4. Things I'd like to do or learn about ... (check one circle for each of the following interest areas) * Please note that this info will be used for future planning and program growth opportunities.

Born Leader? Me For President!

  No, not me! Maybe fun! For sure! Sounds great!
Helping others - what makes a good volunteer and how can I help?
These laws need changing! How to make a difference - learn to advocate
Ways to effectively communicate
Leadership and Personal Development
Team Building - it isn't winning or losing, it's the EXPERIENCE!

* 5. Things I'd like to do or learn about ... (check one circle for each of the following interest areas) * Please note that this info will be used for future planning and program growth opportunities.

It's MY Body and Mind and I ROCK!

  No, not me! Maybe fun! For sure! Sounds Great!
No victim here! Personal Safety
Be My Best, Health Rocks! Healthy Choices
Chef Me! Welcome To My Meal
Karate, Ti-Chi, Yoga, and Dance
Theatre, Arts, and Self Awareness

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