2013 MN 4-H Dairy Showcase Leadship Profile Application

1. Contact Information

 
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1. Contact Information
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2. Parents Names, first and last (as you would like them listed in promotional materials)
3. Local (home town) newspaper name, phone and/or email
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4. Your Birth date (MM/DD/YYYY)
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Format: 11/11/1993
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5. Age (as of August 22, 2013)
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6. Grade in school completed
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7. Indicate 4-H Dairy project involvement and leadership. (No more than 750 characters - about 100 words)
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8. Indicate 4-H Leadership:(years, offices, committee work, awards). must include 2013. (No more than 750 characters - about 100 words)
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9. Indicate other dairy related involvement and leadership. (No more than 300 character - about 50 words)
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10. Indicate school, faith-based, community activities and service. (NO more than 300 characters - about 50 words)
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11. Over the past three years what is the most important thing you have learned about yourself through your work in the 4-H Dairy Project? (No more than 500 characters - about 75 words)
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12. Describe how you have used what you have learned about yourself to significantly impact others in the 4-H Dairy Project? (No more than 500 characters - about 75 words)
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13. Your Reference Contact Information
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14. Explain relationship with this individual (i.e. 4-H Club Leader)
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15. To confirm you answers and verify your identity, what is your mothers's maiden name?
You have completed the 2012 MN 4-H Dairy Showcase Application - Leadership Profile:
By clicking the "I have completed this leadership profile" button, you certify that you have completed the application to the best of your ability. If you wish to print your application for your records, you must use your browser print feature to print this page BEFORE your click the "completed button" below.

Thank you!
MN 4-H Dairy Showcase
"Recognizing the involvement, dedication, and passion of Minnesota's dairy youth."

If you have difficulties with this program, please contact Karen Nelson at nelso367@umn.edu prior to the state fair or in the 4-H Livestock office during the fair.