Questions marked with an asterisk (*) are mandatory.
My Alumni Information:
1
First Name:
2
Last Name:
3
Maiden Name:
4
Address, Line 1:
5
Address, Line 2:
6
City:
7
State:
8
ZIP Code:
9
County:
10
Home Phone:
11
Email:
12
Employer:
My 4-H Involvement:
13
Alumni State:
14
Alumni County:
15
Starting Year of Involvement:
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Ending Year of Involvement:
17
Why did you join 4-H?
18
What kept you involved in 4-H?
19
Projects (Select all that apply):
Aerospace/Astronomy
Arts & Crafts
Automotive/Small Engines
Beef
Bicycle
Clogging/Square Dance
Clothing & Textiles
Clowning
Computers
Dairy Cows
Dogs/Seeing Eye
Drama/Theatre
Electric
Entomology
Env. Education/Camp
Field Crops
Food & Nutrition
Goats
Herpetology
Horses
Horticulture/Gardening
Leadership
Marine Science
Photography
Poultry
Prep
Rabbits & Small Animals
Sheep
Swine
Woodworking
Other, Please Specify
20
4-H Story--Tell us how 4-H has made a difference in your life. For instance, have you used any of the knowledge and skills you learned in 4-H as an adult?
21
4-H Mentor--Tell us about an adult (volunteer or staff) that made your 4-H experience meaningful:
22
Are you currently involved with the 4-H program?
23
If yes, how are you involved? (Select all that apply)
My children are in 4-H
I am a 4-H volunteer
I help at the fair
I help judge 4-H contests
I serve an a 4-H advisory group
I go to camp as a camp counselor
Other, Please Specify
24
Would you like to be involved in any of the following? (Select all that apply)
