Member Evaluation Short Forms
(Last updated 10/7/11)
- MES Leader Recommendation (PDF, 1 page, 36 KB)
- MES Leader Recommendation (Word, 1 page, 33 KB)
- MES Selection Form (PDF, 1 page, 10 KB)
- MES Selection Form (Word, 1 page, 30 KB)
- Older Youth Opportunities (PDF, 2 pages, 96 KB)
- Older Youth Opportunities (Word, 2 pages, 60 KB)
- Score Sheet (PDF, 1 page, 11 KB)
- Score Sheet (Word, 1 page, 29 KB)
- Suggestions for Completing Your Form (PDF, 2 pages, 122 KB)
- Suggestions for Completing Your Form (Word, 2 pages, 39 KB)
(MES required, no interview) – 10 Youth – Estimated Cost: $225.00. Selected youth spend four days on the UW-Madison Campus (June 25-28,2012) where they choose to participate in a variety of seminars, tours, general assemblies, and recreational activities, while also getting a taste of college life. Youth must attend State 4-H & Youth Conference before being eligible for all other award trips, except the Chicago Daze trip. Participants must be in grades 8-10 as of October 1, 2011. (Trip is contingent upon having Columbia County chaperones.) Chicago Daze: (MES required, no interview) – 10 Youth – Estimated Cost: $150.00 (day trip) or $250.00 (overnight trip); participants will decide if they prefer a day or overnight trip. Selected youth will travel by train to Chicago and by bus around Chicago for this day trip. Participants will tour Chicago sites as determined by participants, and may include: the Field Museum of Natural History/Shedd Aquarium/Lincoln Park Zoo/Sears Tower/Museum of Science & Industry. Participants must be in grades 8-10 as of October 1, 2011. This trip will only be held if there is enough interest and if there is a volunteer coordinator and chaperone(s). Citizenship Washington Focus: (MES and interview required) – 3 Youth – Estimated Cost: $1,100.00. Selected youth attend a weeklong program at the National 4-H Center outside of Washington D.C. to learn about citizenship and government, along with opportunities to observe the attractions of Washington D.C. Participants may select from the following 2012 dates: June 16-24, June 23-July 1, July 7 – 15 and July 14-22. Participants must be in grades 10-12 as of October 1, 2011. (Must have attended State 4-H & Youth Conference.) National 4-H Congress:
(MES and interview required) – 2 Youth; Estimated Cost $1,100.00
Delegates participate in self-development seminars, tours and a service project, while exchanging ideas with youth from across the country in Atlanta, Georgia in late November 2011. Participants must be in grades 10-11 as of October 1, 2010. (Must have attended State 4-H & Youth Conference.) National 4-H Conference:
(MES and interview required) – 1 Youth selected to apply – Estimated Cost: $1,100.00. The conference is March 23 – 29, 2012 in Washington D. C. Six (6) youth are selected on the state level to attend. Each participant selects an issue and works with other youth from across the country to develop plans that help direct future 4-H programming. Delegates spend the majoring of time contributing to stimulating, task oriented groups. One day is spent on Capitol Hill with legislators and touring. Participants must be in grades 10-12 as of October 1, 2011. (Must have attended State 4-H & Youth Conference.) 4-H Key Award:
(MES and interview required) – 2 Youth. This state-level award is sponsored by the Wisconsin Farm Bureau and its affiliates, and provides special recognition to 4-H members who have demonstrated consistent growth in their club program, developed their leadership abilities, and been helpful in their club and community. Participants must be at least 14 years of age as of January 1, 2011. This award is only given once.



