4-H 620-W
My Record of 4-H Achievement
(To be kept in your Record Book)
Name ____________________________________ Date of Birth _________________________________
Month Day Year
Address ____________________________________ Telephone ____________________________________
____________________________________
Town zip
Club ____________________________________ Township ______________ Boy or Girl __________
Parent or Guardian’s Name ____________________________________________________________________
Year
Project
Div./
Lev.
Number of Garments
Dishes, Articles, Animals
Exhibit
Exhibits
Placing
Record
Grade
Ex. 90 Garden I 17 varieties vegetables 100’ x 75’ 1 plate green
beans
Local –
County – Blue
State – Red
A
Year
Meetings
Attended
Committee Work
Offices Held
Activities
Participated
In
Workshops
Attended
Judging
Events
Ex. 1990
7
8
Refreshments
Secretary
Fashion Revue
Clothing
Dairy Foods
Year Public Speaking/
Demonstrations
Community
Service
4-H Promotion Trips
Attended
Awards
Received
Field Trips,
Tours
Mass Media
Ex. 1990
Growing Squash County Home
Visit
Indiana 4-H
Week Display
4-H Camp 1
st
Year Pin Weather
Station
