An EEO/AA employer, University of Wisconsin-Extension provides equal opportunities in employment and programming,including Title IX and Americans with Disabilities Act (ADA) requirements.

Polk County UW-Extension 100 Polk County Plaza, Suite 190 Balsam Lake, WI 54810 Phone: 715-485-8600 Fax: 715-485-8601 Dial 711 for Wisconsin Relay http://polk.uwex.edu/

CLOVER CONNECTION October 2018 Dear 4-H Families and Friends: Fall is here with National 4-H Week kicking off the month of October, 7-13. “Grow True Leaders” is this year’s theme! A great opportunity for clubs to show their creativity and highlight the many, many aspects of 4-H as a true celebration of youth achievement and leadership. Clubs are welcome to come up with their own theme for displays also, and as always I am looking forward to seeing your club’s displays and your member’s creativity! Let’s take this opportunity to promote 4-H in our communities, libraries, and schools! Our annual Awards Program is on Sunday, October 21st at 1:00 p.m. at Amery High School Auditorium. I hope to see you all there to celebrate the achievements of members and to say “thank you” to the volunteers for their work with the 4-H program!!! This month also begins a new 4-H year and re-enrollment time for 4-H members. All enrolling and re-enrolling is done electronically with the 4hOnline program. More information about this process is in this newsletter and being handed out at club meetings. One thing to remember for all – youth have to be enrolled in a project in order to exhibit items from that project at the Polk County Fair. Make sure you have signed up for the project areas you want to exhibit in. Project enrollments are due in the on line system by December 1st for returning members and new members can enroll until April 15th. Projects can be added or changed up until April 15. KEEP THESE DEADLINES IN MIND! Fall is also a time we welcome new families into our 4-H program! We need to work to ensure these new families feel welcome and have the information they need to succeed in 4-H and your help is needed to assist these new members and families. 4-H can seem complicated, with all the rules, terms, and deadlines. Maybe your family would be willing to mentor a new family that has joined your club to help them understand some of the ins and outs of the program. Make this a discussion at your next club meeting so that new families are getting the answers and help they need. Don’t forget all the resources that are available on the county and state 4-H websites. Polk County 4-H Teens will not want to miss the M.E. Review, Interview, and Trip Interviews and Selection sponsored by the Awards Committee on Monday November 13th at 6:00 p.m. (Awards Committee meeting and selection to follow). These ME forms are great resume starters in addition to being used for State and National Trips and Scholarship selection! See the inside of the newsletter for more details. Help with your M.E. is available 12:00 p.m. prior to the Awards Program on October 21 or Monday October 29th at 6:30 p.m. at the Government Center!! Finally, I want to take this opportunity to congratulate our award winners and say THANK YOU!! to all our volunteers who will be recognized at the 4-H Awards Program. 4-H could not happen without the dedicated volunteers who give of their time and talents. Your positive impact on the youth of our county is truly valuable and immeasurable. Thanks for all you do!!! Sincerely, Chuck Prissel 4-H Youth Development Agent

OCTOBER Calendar – 2018 SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 1

Polk County 4-H Scholarships Due!!

2 3 4 5 6

7 National 4-H Week

8 Coop Exchange 9:00 a.m. National 4-H Week

9 National 4-H Week National Youth Science Day Scholarship Committee 7:00 p.m.

10 National 4-H Week Polk United 1:00 p.m.

11 National 4-H Week

12 National 4-H Week

13 National 4-H Week Kids & Cows Family Day, Rice Lake

14 15 16 17 Youth Dev. Dept. Mtg., Upham Woods

18 19 20

21 M.E Workshop 12:00 p.m. 4-H Awards Program, Amery High School, 1:00 p.m.

22 23 24 25 26 27

28 29 Space Camp Applications Due! M.E. Workshop 6:30 p.m.

30 Extension Area 5 Staff Meeting

31

NOVEMBER Calendar – 2018 SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 1 2

Fall Forum, Green Lake Conf. Ctr.

3 Fall Forum, Green Lake Conf. Ctr.

4 Fall Forum, Green Lake Conf. Ctr.

5 Coop Exchange 9:00 a.m.

6 7 8 4-H Committee Meetings,7:00 p.m.

9 Horse Leader Conference UW-River Falls

10 Horse Leader Conference UW-River Falls

11 Horse Leader Conference UW-River Falls

12 Annual Fair Society Meeting 7:00 p.m. Justice Center

13 M.E. Interviews & Selection Process, 6 p.m., Gov. Ctr.

14 Polk United, 1:00 – 2:30 p.m.

15 4-H Committee Meetings, 7:00 p.m.

16 17

18 19 20 21 22 Happy Thanksgiving!! Extension Office Closed

23 24

25 26 Ambassadors 6:00 p.m. 4-H Leaders Federation Board Mtg., 7:00 p.m.

27 28 29 30

Clover Connection October, 2018

Club Represented When the Money Gets

Spent????? The Polk County 4-H

Leaders Federation Board of Directors is a very important group for the Polk County 4-H program. This board oversees the program and makes very important decisions about how and where the financial resources of the program get spent. They also provide direction for the educational programs. Is your club being represented?? Each club can send one adult and one youth member as representatives to the board. Youth have an equal voice at the table. The board meets six times a year and the meeting dates for this 4-H calendar year are:

November 26, 2018 7:00 p.m. B.L. January 28, 2019 7:00 p.m. B. L.

March 25, 2019 7:00 p.m. B.L.

4-H Forms Are Available on

the Web!!

Did you know that more 4-H forms, such as M.E. forms, Record Book Forms, Club Financial Records, etc., are all available right on your own computer? Just follow the link:

http://polk.uwex.edu/4-h-youth-development/forms-and-applications/

Select the category and print out what you need! These forms are still available from the Extension Office for your convenience.

Scholarships For 2018!

Polk County 4-H Leaders Federation Scholarship Fund Committee announces 2018 4-H scholarship forms are available from the Polk County Extension Office. Only members who are planning on graduating or have graduated from 4-H at the annual Polk County 4-H Awards and Recognition program in October may apply. Applicants have up to five years after

graduation from 4-H to apply for this scholarship. Applications will include a one-page application sheet and the completed eight-page 4-H ME (Member Evaluation) form. These are to be submitted by October 1, 2018 and announcement of award will be given at the Polk County Awards Program. Forms are also available on the website at:

http://polk.uwex.edu/4-h-youth-development/forms-and-applications/

Needing Help with that M.E.? What is a M.E. Anyway??

Have you thought about applying for a National Trip or Key Award or County Scholarship but was not sure about the requested M.E. for the application? Have you wondered just what is a M.E. anyway and what can it do for me? Well, wonder no more! Plan to attend one of two opportunities sponsored by the 4-H Awards and Recognition Committee to learn more about the M.E. (Member Evaluation) Form and how to make yours so it highlights your leadership and contributions to 4-H. M.E.’s are not only needed for our Trips, Awards, and Scholarship selection, but can be great resources for you as you write your resume for employment or apply for other scholarships. Plan now to attend one of two workshops: Sunday, October 21, 2018 at 12:00 noon

(one hour before the Awards Program) at Amery High School

OR Monday, October 29th, 2018 at 6:30 p.m.

at the Government Center in Balsam Lake

Pizza will be provided for the 29th workshop!! Please e-mail Charles.prissel@ces.uwex.edu if you plan to attend this workshop so we know how many pizza’s to get!

Clover Connection October, 2018

Attention! Youth Leaders! Plan now to attend the M.E. workshop on Sunday, October 21st at 12:00 hour before the Awards Program or on Monday October 29th at 6:30 p.m. – to get individual help with your M.E.’s. Then plan to attend Tuesday, November 13th at 6:00 p.m. for an interview to be considered for award trip selection!! Participants should fill out the M.E. form prior to the workshop. Participants will get an opportunity at the workshop to learn more about what can be added to your M.E. and will get ideas on how to improve your own forms for future use. These important forms are used for award trip selections and scholarship applications. These forms are used for selection to Citizenship Washington Focus, National 4-H Congress, National 4-H Conference, and the highest Wisconsin 4-H honor award – the Key Award! In addition, these forms can be a great start on a resume for employment! The 4-H Awards Committee will meet after the interviews to select 2018-19 Polk County Award Trip winners from the applicants that evening. Paper copies of these forms are available from the Extension Office or on-line at:

http://polk.uwex.edu/4-h-youth-development/forms-and-applications/

If you have questions or need help in filling out the forms, please feel free to call anyone on the Polk County 4-H Leaders Federation Awards, Recognition, and Record Book Committee.

They are: Linda Owens, (715- 653.2663); Denise Johnston (715-825.4496); Terilyn Wallis, (715-755.2632) and Shirley Miller-Frey (715-483-1580). Plan now to attend both the ME workshop and the interview selection.

Now Is Your Chance To Be Heard

All 4-H project committees will meet during November, 2018. If you have suggestions for a committee, just fill out the form and send it to the Extension Office, or send an e-mail to

Charles.prissel@ces.uwex.edu - Your input is important!! Name (optional): _____________________ 4H Club: Phone # (optional): ___________________ Committee To Receive Input: ___________________________________ Suggestion(s): ____________________________________

____________________________________

_________________________________

THANK YOU!

Share your Service Project Story!

Have you done an outstanding service project and want to share your story?

The Wisconsin 4-H Foundation is

looking to highlight the generous efforts of Wisconsin 4-Hers. Tell us about your service projects, as individuals or as clubs. In response to the National 4-H campaign, #30DaysofDoing, we want to hear about what Wisconsin’s 4-H kids are doing to make our world a better place.

Your story could be highlighted in

our end of year mailer, and shared on Facebook and other social media.

Submit your story (not more than

100 words) by October 31, 2018 to: info@Wis4HFoundation.org

Contact the Wisconsin 4-H

Foundation office if you have questions: info@Wis4HFoundation.org or 1-608-262-1597 We’re looking forward to reading about how

you helped your community!

Clover Connection October, 2018

Attention 4-H Club Members! The 2018 National 4-H Week promotional theme will be “Grow True Leaders”. This theme will give clubs a creative opportunity to highlight 4-H in their communities and schools. Your club will have the opportunity to promote 4-H in your community through a display located in a business window, library or other community venue! During this promotional week clubs are asked to create a display promoting 4-H in your community. Clubs are free to creatively promote the 4-H program incorporating aspects of the theme or other 4-H activities or projects. Displays must have contact information as a visible part of the display – either your club directly or the Polk County Extension Office. Displays should be in place by Sunday, October 7 and stay up through the week or longer. Cash prizes from the Polk County 4-H Leaders Federation will be awarded to the club as follows: Blue - $40.00; Red - $30.00; and White - $20.00. Let’s have all 23 Polk County 4-H clubs participate this year!!J

REGISTRATION FORM FOR: NATIONAL 4-H WEEK WINDOW DISPLAY

(Can also be called in to Colleen at 715.485.8600 or e-mailed to

Charles.prissel@ces.uwex.edu) Club Name: ________________________

Contact Person: _____________________

Cell/ Home Phone #: _________________

Where Display is Located (directions help):

____________________________________

____________________________________

_________________________________

Judging can take place anytime during National 4-H Week. J Be creative!

13th Annual Kids & Cows Family Day

October 13th, 2018 Barron County Fairgrounds

Rice Lake, WI Event Schedule Ø Registration – 8:00 a.m. – 9:00 a.m. Ø Educational Workshops & Guest

Speaker – 9:00 – 12:00 Ø Lunch – Food Stand and Ag

Olympics – 12:00 – 1:00 p.m. Ø Showmanship Competition – 1:00 –

3:30 p.m. Ø Breed Show & Supreme Champion

– 3:30 p.m. Activities for All Ages. Kids are encouraged to bring their own cattle – kids and adults without will have one provided.

www.wisconsinbeefproducers.com or contact Lori Lyons – 715.210.0049

Exploring Project for First Year Members!

If you are joining a 4-H club and you are in 3rd grade or if you are a 4th grader and joining 4-H for the first time you are considered an EXPLORER, and you should enroll in Exploring as your only project. You can also enroll in another project or two, like Horse if you are planning on doing horse activities so that you can be included in horse event information. Exploring is set up that way for first year members so that they can “Explore” a wide variety of areas in 4-H so that the next year, you can enroll in those areas for projects. You are only an Explorer for one year. Exploring is just for that first year in grades 3 or 4. If you have questions about Exploring or any area in 4-H, please contact the Polk County Extension Office at Charles.prissel@ces.uwex.edu or call the Extension Office at 715.485.8600.

Clover Connection October, 2018

CLUB MANAGERS AND

ORGANIZATIONAL LEADERS If you are the club manager/organizational leader who is responsible for confirming your club members you must: Follow the “4HOnline – Club Managers guidelines included with this newsletter in the club organizational packets. 1. Log in following directions using the

password that is listed on the directions.

2. Check your membership and make

sure that each of your members is enrolled in the correct categories (such as: Cloverbuds – K-2 ONLY; Exploring – 3rd graders - (unless you are in 4-H for the first time as a 4th graders) – you would then also be an EXPLORER (if you are in 5th grade you must choose projects).

3. Delete old projects or check with

your member – (if Exploring still shows up and your member is now a regular 4-H members – delete exploring for the current year.)

4. After you have gone through the

membership – then confirm each member/leader.

If you do not confirm your members at the club level, the county cannot confirm them in your club and they will not receive any mailings or newsletters until they are confirmed. REMINDER – If you are changing clubs you cannot change them yourself – you MUST call Colleen at the Extension office at 715.485.8600 to have it changed.

4-H National Youth Science Day 2018- “Code Your

World”

This October, 4-H and Google will launch an exciting National Youth Science Day challenge, Code Your World, inviting kids to get involved in computer science (CS) through hands-on doing. The national NYSD celebration kicks off October 1, and coding events can take place all throughout October.

Code Your World is a four-part challenge that teaches kids ages 8-14 to apply CS to the world around them through hands-on activities. Developed by Google and West Virginia University Extension Service, it includes a computer-based activity on Google’s CS First platform and three unplugged activities that bring coding to life through games and interaction. Invite kids to get involved in computer science with our Code Your World Challenge! Code Your World uses games and hands-on fun to teach kids important CS and computational thinking concepts, and is perfect for first-time and beginner coders ages 8-14.

What to Expect Code Your World is easy for volunteers, parents, and clubs with or without computer science experience to facilitate. The accompanying kit includes clear instructions for facilitators and offers both low and no-tech options for events without Internet access. This year’s activity will not only teach computer science to kids, but also build confidence and teach skills relevant across fields from agriculture to technology to the arts. Several kits are here for Polk County 4-H clubs to pick up. Please contact Chuck Prissel at charles.prissel@ces.uwex.edu or call 715-485-8600 to reserve your kit today! Watch an informative YouTube video at: https://4-h.org/parents/national-youth-science-day/

Clover Connection October, 2018

4-H Volunteer Impact Study – You May Be Contacted

What you do makes a difference! We are excited to share that our state will be participating in 4-H Volunteer Impact Study of volunteers in the North Central Region. This survey is being conducted as a part of 12 state effort to document the impact of volunteering. It will focus on three areas:

· the personal benefits of your volunteer experience;

· the impact you have on the organization by volunteering; and

· how your volunteer efforts contribute to your community in which you live and work.

A random sample of 1000 volunteers from each state will be surveyed. This study will be conducted through an electronic survey. If you are selected you will receive an e-mail to let you know you have been selected to participate. You may be picked!!! If you are, please respond. We want to hear from you and learn from your volunteer experiences. Your comments will be used to quantify the personal, organizational and public impacts of volunteers involved with 4-H Youth Development Programs in our twelve state region. Your impact is great and we want to hear from you!!!

Honey Bee Poster Contest

2018 The Honey Bee Poster Contest is sponsored by the Wisconsin Honey Producers Association. You can visit their website at www.wihoney.com.

Theme for 2018 is: Honey Bees – Jobs They Do”.

Divisions: 2nd grade and under; 3rd – 5th grades;

6th-8th grades; 9th-12th grades Prizes for each division: 1st - $35.00;2nd - $25.00

3rd - $15.00

Rules: 1. Size 11”x14” poster board 2. Print clearly, on back side: Name, address, age and grade 3. Include theme in design 4. Posters become property of W.H.P.A. 5. Most bees today live in bee hives.

Paper wasps live in nests hanging from a tree branch. Not bees! Entries need to be mailed by

October 26, 2018 to:

Shelly Astle, WHPA S4131A St. Hwy. 80 Hillsboro, WI 54634

For questions, contact Shelly Astle at (608) 489-2456 or shelly@mwt.net.

Belong, Mastery, Generosity and Independence are the 4 Essential

Elements of Positive Youth Development that are focused online

4-H Youth Development. Would you like to learn more and how

they relate to your role as a leader working with youth?

Check out how you as an adult volunteer or youth leader can foster the development of these elements in the youth. You will have an opportunity to: ü Learn about each element in relation

to different age youth from kindergarten to high school.

ü Consider how you can develop life skills in youth

ü Build on what you know to foster the growth of these elements in young people

Each module is about 7-10 minutes in length. You move through the modules at your own pace. It will take you about 30-45 minutes to complete all four modules. For more information on how to access these training opportunities in 4Honline, please visit: https://4h.uwex.edu/files/2018/08/4HOnline-Essential-Elements-Training-For-4H-Volunteers.pdf

Clover Connection October, 2018

SPACE CAMP Where: Huntsville,

Alabama When: April 26-30, 2018

Delegates participate in hands-on mock space missions and other activities in this NASA program while exchanging ideas with youth from across Wisconsin. Qualifications: ü Be in 6th – 8th grade at time of trip –

maximum age 15 at time of trip; ü 4-H youth from Polk County MUST

have completed one full year in 4-H and have turned in a completed record book from the previous year. Club Leader verification is required to complete the application process as well as a Leader Recommendation Form.

ü Applications are included in this newsletter and are due to the Polk County Extension Office by October 29th NO LATE APPLICATIONS WILL BE ACCEPTED AND APPLICANTS FROM POLK COUNTY MUST FOLLOW THIS PROCESS!! . A county selection process will be utilized. Youth will be notified after the 29th and must complete the registration process through 4-Honline.

Costs:The total cost of Space Camp is approximately $650.00 Polk County 4-H Leaders Federation reimburses ½ of the registration costs. Selection is completed by the Polk County 4-H Awards and Recognition Committee.

Wisconsin 4-H License Plates Available

The 4-H Plate is here! The 4-H Plate is here!

We wanted you to know: The Wisconsin 4-H license plate is available through the Wisconsin DMV, as of September 1, 2018. We will officially launch the plate later this fall and will be providing every county with information about how proceeds from the sale of every plate will be shared with the county in which the plate was purchased. That means money coming to the Wisconsin 4-H Foundation and to county 4-H programs. A marketing tool kits will be distributed to every county to help in marketing the plate through 2019. If you have preliminary questions, please ask. And stay tuned for more information. Please visit the Wisconsin DMV for pricing and more information: https://wisconsindot.gov/Pages/dmv/vehicles/title-plates/4hf.aspx

Clover Connection October, 2018

2018-19 Annual Committee Meeting Dates Set

You will find a list of 4-H Project Committee and other Committees in this newsletter. Please sign up for the committee’s you wish to be on and return to our office. Registered volunteers who attend committee meetings and get their names on the minute’s sheet will automatically be added to the committee roster. The Polk County 4-H committees will meet in November. Some committees will meet on Thursday November 8th and some will meet on Thursday, November 15th. Please look over the following list to see which night your committee meets.

Thursday November 8th, 7:00 p. m.

Exploring/Cloverbuds Home and Family Committee

(Clothing/ Knitting/Crocheting/ Home Environment Foods/Nutrition/Preservation/ Child Development/Intergenerational/Health)

Aerospace/Models/Robotics/STEM/Computers Cats/Vet. Science/Pet Pals (Cavies/Tropical Fish/Birds, etc.)

Photography Youth Leadership//Citizenship

Communication/Expressive Arts (Speaking/ Writing/ Theatre/Dance, etc.) Dogs

Poultry Rabbits Horse

Visual Arts/Folk Arts/ (Arts/Crafts/Cultural Heritage) Environmental Sciences/Nature Space/Adventures (Backpacking/Winter

Travel/Canoeing/Bicycling/ Birds/Insects/Wildflowers/Trees/Fishing/Recycling/Wildlife Management/Water)

Thursday, November 1 5th, 201 7, 7:00 p. m.

Beef

Goats Mechanical Sciences: (Bicycle/Small Engines/Tractor/Farm Safety/Electricity)

Plant & Soil Sciences: (Fruits/Vegetable Gardens/Field Crops/Flowers/House Plants/Landscaping) Swine Dairy

Woodworking Sheep

Shooting Sports

All meetings will be at the Polk County Government Center in various meeting rooms throughout the building as posted.

Clover Connection October, 2018

The whole family is invited to

Polk County’s 4-H Awards Program! WHEN? WHERE? WHY? Sunday, Amery High School To recognize outstanding October 21, 2018 Auditorium accomplishments and 1:00 p.m. Amery achievement of 4-H members & leaders.

Refreshments will be served

Join us for an afternoon of visiting with friends, surprises & well deserved recognition.

BE THERE FOR THE FUN!

Clover Connection October, 2018

. Nomination for the

JAMES W. CROWLEY 4-H DAIRY LEADERSHIP AWARDS And NATIONAL 4-H DAIRY CONFERENCE

DUE: DECEMBER 15, 2018

The James W. Crowley 4-H Dairy Leadership Award program provides recognition to youth who have excelled in their dairy project. The James W. Crowley Management and Extension Fund is the sponsor of the award. A special engraved medallion will be presented to the outstanding 4-H dairy project member in each county. County Award winners are eligible to compete for 15 state-wide awards. State winners will receive plaques plus partial scholarships to the 2019 National 4-H Dairy Conference. In addition, the top two youth in the state competition will each receive $500 awards for continuing their dairy education. SELECTION Selection of the Leadership Award will be done by the Polk County 4-H Leaders Federation, Inc. Dairy Committee. ELIGIBILITY 1. Must be currently enrolled in the 4-H Dairy Project and have at least two previous years

of membership in it. 2. Must be in 10th - 12th grades as of January 1, 2019. 3. Should have an outstanding record of involvement and accomplishments in the 4-H

Dairy Project. 1. NOMINATION Name of 4-H Member: ____________________________________________ Grade: _____ Address: ____________________________________________________________________ ______________________________________________________________________ Phone (_____) ___________________ County: ____________________________ 2. MEMBER’S SUMMARY Please answer the following questions briefly but as completely as possible. Years in 4-H: _____ Years with Dairy Project: _____ Breed: _______________________ Grade Purebred Number of animals carried this year in the 4-H Dairy Project: _____ ________ Number of animals owned this year in the 4-H Dairy Project: _____ ________ Number of animals in the family-milking herd: _____ ________

Clover Connection October, 2018

3. DAIRY ACTIVITIES: Briefly list your involvement in what you consider important dairy

activities during the past year (local fairs, breed shows, state fairs, demonstrations, promotional events, etc.).

4. OTHER 4-H PROJECTS: List other 4-H projects you have carried in addition to dairy. How have they helped to increase your interest, knowledge and understanding of the dairy project? 5. LEADERSHIP EXPERIENCE: Describe your 4-H leadership experiences (i.e. project, club, county, district, state). Describe your school or community leadership experiences.

2019 Polk County Citizenship Washington Focus Trip And Key Award Selection Process Information and Application Form Bring or Submit this form, a completed ME (Member Evaluation) form, and 4-H Leader Evaluation and Recommendation form to Chuck Prissel, 4-H Youth Development Agent, U.W. Extension Office, 100 Polk County Plaza, Suite 190, Balsam Lake, WI 54810 by November 13, 2018 at 6:00 p.m.. Selection will be made by Polk County 4-H Awards, Recognition and Record Book Committee that evening following the 6:00 p.m. M.E. interviews – open to all 4-H youth.

Citizenship Washington Focus A busload delegation from all over the state of Wisconsin travels to Washington D.C. for seminars and workshops. Tours in and around Washington D.C. are included in the experience. Cost is approximately $450.00 (1/3 of total cost) per delegate, plus personal spending money, with the Polk County 4-H Leaders Federation, Inc. paying the remaining two-thirds of the total cost of the trip. Delegates from Polk County must be no younger than a sophomore in high school in the fall of 2018 and presently enrolled in a youth leadership project unit.

Delegates are expected to attend any scheduled orientation meetings or teleconferences.

Wisconsin 4-H Key Award Five Polk County 4-H members can receive the Wisconsin 4-H Key Award at the Polk County Awards Program in October, 2019.

Members must: - be at least 15 years of age on January 1, 2018 - have completed three years of 4-H prior to 2018 - have completed one year of leadership work prior to 2018 National 4-H Congress and National 4-H Conference Select applicants may be awarded these trips based upon advanced 4-H Leadership experiences. Registration costs for these award trips are paid for by the Polk County 4-H Leaders Federation, Inc.

********************************************* Name: ______________________________________ Birth Date: ___________________ Grade In School Number Of Years In Number Of Years In Youth Fall Of 2018 _____ 4-H counting current year ____ Leadership Prior To 2018_____ I am making application for:

_____ Citizenship Washington Focus Trip _____ Wisconsin 4-H Key Award _____ National 4-H Congress _____ National 4-H Conference Application process for all National Trips and the Key Award requires this signed form, a completed M.E. (Member Evaluation Form) and a 4-H Leader Recommendation Form. Bring all completed forms to the 6:00 p.m. meeting. Applicants will be interviewed for award opportunities.

Bring or Submit this sheet, ME (Member Evaluation) form, and 4-H Leader Evaluation and Recommendation form to Chuck Prissel, U.W. Extension Office, 100 Polk County Plaza, Suite 190, Balsam Lake, WI 54810 by November 13, 2018.

National 4-H Trip Agreement Statement

If selected, I agree to conduct myself in an appropriate manner, cooperate with everyone in the delegation and endeavor to learn as much as possible. I realize I will be financially responsible for the cost of the entire trip if I cancel after deadline and a replacement cannot be found. Applicant’s Signature: _____________________________________ Social Security Number: ____________________________________ ___________________________ (name of son/daughter) has my permission to apply to be a Citizenship Washington Focus delegate under the above conditions. If selected, I will have him/her attend the orientation meeting and meet the agreed upon trip obligations.

Parent(s) Signature(s): ______________________________________

Wisconsin 4-H Youth Development Code of Conduct

As a 4-H participant, I will: Be curious to learn

Be respectful to self and others

Work to positively resolve problems or differences

Accept guidance from Extension volunteers and staff

Follow program rules, curfews, dress codes, policies, and rules of the facility being used.

Use appropriate language, exhibit good sportsmanship, and be a positive role model.

Comply with local, state and federal laws.

Abstain from use of alcohol, illicit drugs, and tobacco during any 4-H program, activity or educational experience.

Fully participate in scheduled activities and orientations.

Respect others' property and privacy rights.

Abstain from child abuse (physical, sexual, emotional and neglect), harassment, hazing and bullying.

Refrain from all sexual activity/contact during any 4-H program, activity or educational experience.

Accept personal responsibility for behavior including any financial damage.

Follow safety rules. Consequences for violating any part of this Code of Conduct may include, but are not limited to:

• Removal from leadership positions held. • Removal from participation in the event in which the Code of Conduct has been violated

(at the individual’s expense). • Forfeiture or repayment of financial support for the event. • Sanctions on participation in future 4-H events. • Suspension of membership. • Dismissal from 4-H.

It is the responsibility of all program participants to reinforce the code of conduct and intervene when necessary to enforce the rules. I have shared the code of conduct with my son, daughter or ward. We have read, understand, and agree to the above. Member Name (printed) ___________________________________________________ Member Signature ___________________________________ Date ________________

Parent (Guardian) Name (printed) ____________________________________________________

Parent (Guardian) Signature ___________________________________ Date _________________

Polk County 4-H Participant Application for 2019 Space Camp April 25-29, 2019

Completed Form with Signatures, and a Leader Recommendation Form Due October 29, 2018 to the Polk County Extension Office!! No late applications will

be accepted!!You may attend this educational experience only once.

Name: __________________________________________ Grade: _________________________

Address: _______________________________________________________________________

City: _________________________________ Telephone: ________________________________

4-H Club: _______________________ Number of year of 4-H Membership: __________________

4-H Projects: ___________________________________________________________________

______________________________________________________________________________

Describe 4-H Leadership and or teaching roles you have had through 4-H: _______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Why Do You want to attend Space Camp? ____________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

What do you hope to gain from your experience as a Wisconsin 4-H Space Camp Participant?

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Applicant has completed a record book for the previous year 2018: _______________________

Club Leader Signature: _____________________________________________(date)_______________

I give my permission for my child to participate in this program. If for some reason my child is sent home early I agree to pay the entire program participation fee.

_____________________________________________________ ______________________________

Parent Signature Date

2018 WISCONSIN 4-H HORSE LEADERS CONFERENCE Held: November 9-11th, 2018 @ UW-River Falls

REGISTRATION FORM

Registration Deadline is October 15, 2018 (No refunds given after October 28)

REGISTRATION FEES

____ Full time registration - includes all sessions, conference materials and meals $50.00 per person (Sat lunch, Sat dinner, Sat & Sun breaks)

____ Saturday Only registration -includes meals - lunch and dinner - and materials $45.00 per person (Sat lunch, Sat dinner, Sat breaks)

TOTAL FEES ENCLOSED-----------------------------------------------------

Enclose fees with registration. Please make checks payable to: UW-Extension

DO NOT SEND CASH

Youth Leaders must be accompanied by an adult chaperone

PLEASE PRINT ALL INFORMATION NEATLY

Name(s):_____________________________________________County:___________________ (if registering more than one person on this form, provide the name and other necessary information for each person)

Address:___________________________________City:__________________Zip:__________

Phone: (____)_______________ Email: _______________________ Male____ Female ____

Adult____ Youth _____ Grade (If Youth) ____ Youth Leaders attending must be 7th grade and older

Chaperone name and county ____________________________________________________

(All youth must list the name of a chaperone who will also be attending the Conference)

Special Dietary Needs: _________________________________________________________ (if registering more than one person on this form, be sure to provide the name of the person(s) with the special dietary need)

For Questions Call:

Liv Sandberg at (608) 263-4303 or sandberg@ansci.wisc.edu

An EEO/AA employer, University of Wisconsin Extension provides equal opportunities in employment and programming, including Title IX and ADA requirements. Please make requests for reasonable accommodations to ensure equal access to the conference before the registration deadline.

$

Return form(s) and fees to: Lynn Pfeiffer 4-H Youth Development 436 Lowell Hall 610 Langdon Street Madison, WI 53703

Make checks payable to: UW-Extension

Registration Deadline October 15, 2018

No Walk-in registrations

No refunds after October 28, 2018

Award Trip Opportunity for 8th -10th graders! American Spirit Experience!!

Polk County 4-H members will have an added educational trip experience to apply for at the Fall M.E. Review, Interview and Trip Selection event held Tuesday, November 13th!! Youth in grades 8th through 10th grade this fall can apply for the 4-H American Spirit Experience. The American Spirit Experience is a weeklong trip exploring America’s Heritage. Educational exploration spots include Valley Forge, Philadelphia, New York, Plymouth Rock, Boston, and Niagara Falls. Youth will be required to obtain a passport to participate in this experience. Youth will be required to research a pre-assigned historical topic and present to the rest of the delegation. Total costs will be around $1400.00 excluding personal spending money and a few meals. (Half of the registration costs will be paid by the Polk County 4-H Leaders Federation for awarded members.) Dates for 2019 are: June 7-16 or July 5-14. To apply, complete a M.E. (Member Evaluation) Form and bring it to the M.E. Review, Interview and Trip Selection on Tuesday November 13th at 6:00 p.m. along with this completed application form and a Leader Recommendation Form.

American Spirit Experience Application Form: Name____________________________________________________________ 4-H Club__________________________________________________________ Current Grade:______ Birthdate:_____________ E-mail Address_____________________________________________________ Youth Leadership experiences:_________________________________________ __________________________________________________________________ __________________________________________________________________ If selected for this Award Experience I agree to conduct myself in an appropriate manner. I agree to cooperate with everyone in the delegation, adults in leadership roles, and to work to gain as much from this experience as possible. I agree to participate in all pre-trip orientations. I understand I will be financially responsible for the cost of the entire trip if I cancel after the deadline and a replacement cannot be found. APPLICANTS SIGNATURE: _____________________________________________ _________________________ has my permission to apply for the American Spirit Experience. I will work to ensure compliance with trip expectations: PARENTS SIGNATURE:___________________________________ DATE:________

An EEO/AA employer, University of Wisconsin-Extension provides equal opportunities in employment and programming, including Title IX and American with Disabilities (ADA) requirements. © 2014 by the Board of Regents of the University of Wisconsin System

VOLUNTEER BEHAVIOR EXPECTATIONS

February 2015

Families, individuals, and organizations trust the University of Wisconsin-Extension to provide quality leadership and care for those who are involved in Extension-sponsored programs. The opportunity to work as a volunteer with UW- Extension is a privileged position that should be held only by those who are willing to demonstrate behaviors that fulfill this trust.

All UW-Extension volunteers are required to complete the UW-Extension Youth Protection program. This includes: 1) a background check for arrest and conviction records, 2) participation in a volunteer orientation program, and 3) signing the Volunteer Behavior Expectations form. The primary purpose of this process is to ensure the safety and well-being of all participants (i.e., youth, adults, salaried and volunteer staff).

UW-Extension volunteers are expected to abide by the following behavior standards established by UW-Extension and to conduct themselves as positive role models for program participants. All UW-Extension volunteers are ultimately accountable to UW-Extension for their UW-Extension related activities.

As a UW-Extension volunteer, I will:

• Cooperate with and support UW-Extension staff to jointly further the mission of the UW-Extension. • Accept supervision and guidance from UW-Extension staff or designated management volunteers. • Conduct myself in a manner that is in the best interest of program participants and UW-Extension and will not use

the volunteer position or title for purposes of private or personal gain. • Use appropriate University research based resources/information. • Make all reasonable efforts to ensure that programs are accessible to all individuals regardless of race, color, sex,

creed, disability, religion, national origin, ancestry, age, sexual orientation, pregnancy, marital or parental status. • Abide by all local, state and federal laws and UW-Extension and U.S.D.A. rules, policies and guidelines. • Conduct myself with courteous manners and language, exhibiting good sportsmanship, serving as a positive role

model, treating others with respect, and demonstrating reasonable conflict resolution skills. • Not consume or be under the influence of alcohol or illegal substances while in the role of a UW-Extension

volunteer, nor allow youth participants under my supervision to do so. • When transporting youth or adults, operate motor vehicles and other equipment in a safe and reliable manner

and only with a valid operator’s license and the legally required insurance. I will comply with all motor vehicle-related state regulations and laws.

• Treat animals in a humane manner and teach program participants to provide appropriate animal care and management.

• Report suspected verbal, sexual, physical abuse and neglect of youth to local authorities. • Not conceal carry firearms and/or weapons while acting in a volunteer role. I understand that if I am a 4-H Youth

Development shooting sports volunteer, I am expected to openly carry/transport 4-H shooting sports equipment in designated areas.

• Immediately notify my county UW-Extension Educator/Agent of any changes with my status (e.g. contact information, criminal arrest, charge or conviction history, driving privileges, etc.)

I have read and understand and agree to abide by these expectations for volunteers. I understand that suspension or termination of my position as a volunteer will result if I do not meet these expectations. _______________________________________________________ _____________________________________ Volunteer Printed Name County _______________________________________________________ _____________________________________ Volunteer Signature Date

The county UW-Extension office receives one signed copy and the volunteer receives one copy.