Dear 4-H Supervisor

You have been asked to provide support information for one of your direct reports who is applying to be a 4-H PYD Champion and a member of the Regional 4-H PYD Champion Network.

The Regional 4-H PYD Champion Network is made up of two 4-H professionals from Land-Grant Universities (LGUs) across the five Extension Regions. Champions are chosen through a competitive application process for a two or three year term. Champions will work together in their Extension regions under the leadership of a national facilitator to advance the consistent use of the 4-H Thriving Model as the theory of positive youth development for 4-H. Regional networks will focus primarily on capacity building efforts for 4-H professionals and volunteers, with a special focus on consistent orientation for onboarding new 4-H professionals.

You may be asked to complete this form for more than one 4-H professional at your LGU. Our goal in asking for this information from you is to ensure the applicant has the adequate expertise, time availability, commitment and support to be a successful champion.

Information that you provide will be used for application review and selection purposes only. We will not share any information provided with the applicant.

Thank you for your time in providing this important information.

If you have any concerns regarding this support request, please contact Maria Walker at maria.walker@unl.edu

Submission Deadline: January 15, 2022

Thank you for your assistance.

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* 1. Name of applicant you providing this reference for:

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* 2. Your Name

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* 3. Your e-mail address

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* 4. Your phone number

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* 5. Your LGU (Please spell out completely - no abbreviations)

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* 6. On a scale of 1 to 10, how confident are you that this applicant will have the time required to participate actively in this network?

Not confident at all Very confident - this will be a priority for the applicant
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i We adjusted the number you entered based on the slider’s scale.

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* 7. Please indicate that the applicant meets all the requirements for this position:

  Yes No
 4-H professional status
Desire to establish a consistent model of PYD across the 4-H system
Experience in leading professional capacity building efforts
Commitment to a three-year term (some initial terms will be two-years to stagger turn over)
Commitment to active participation and leadership in regional network activities, including monthly virtual gatherings and at least one sub-group effort
Available dedicated time for participation (approximately 5-10 hours/month)
Confidence in teaching and leading
Travel support and funding to attend one in-person session annually (in conjunction with the NAE4-HYDP Conference)

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* 8. On a scale of 1 to 10, what is your overall support for this applicant to be a 4-H PYD Champion and serve on the Regional 4-H PYD Champion Network?

I do not support this applicant for this role at this time I support this applicant for this role without reservation
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 9. Please share any brief comments regarding this applicant that you would like the selection committee to know:

T