4-H Alameda County Ambassador Application

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✻ = Required

The 5 items below constitute your Alameda County Ambassador Application and must be submitted online by 10:00 pm on April 2nd. Late or incomplete applications may not be accepted.

Please be prepared to upload your essay questions, autobiographical story, resume and documentation of leadership skills.

Three references (give the people you have chosen this link http://ucanr.edu/survey/survey.cfm?surveynumber=29328 to complete the letter of recommendation
Two essay questions
1. What are you going to bring to the County Ambassador program?
2. What do you expect the County Ambassador program to do for you?
Autobiographical (or My 4-H) Story
Resume
Documentation that the Applicant has demonstrated Leadership experience and skills.
This can be met by either

Star Rank Page of PDR, recently reviewed, approved, signed and dated by Club Leader OR
Documentation of Alternate Requirements*

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Application Requirements: Please verify that the following are true

I hold a 4-H Gold Star Rank or documentation of the Minimum Alternative requirements ✻

Yes No

* Minimum Alternate Requirements
a) Mastery of a project as demonstrated by at least 6 hours of instruction, documented by a statement of skills
b) 40 hours of significant leadership roles, either inside or outside of 4-H, with at least 10 hours of leadership contributed to 4-H
c) 30 hours of citizenship and/or community service, either inside or outside of 4-H, with at least 6 hours through 4-H
d) 10 public speaking engagements, at least 2 of which must have been given at a 4-H event
e) Demonstrate involvement in 4-H as evidenced by a list of activities that are a combination of 15 of the following: project skill activities, 4-H events attended, and honors/recognition. Definitions for these three categories are found in the Record Book Manual under the section describing the Personal Development Report (PDR). Completing a PDR is not an application requirement for 4-H Alameda County Ambassador.

I am currently in at least my second year of 4-H ✻

Yes No

I am able to attend State Leadership Conference at least once during my County Ambassador term ✻

Yes No

My parental unit/legal guardian is aware of the expectations of the County Ambassador position and agrees to my participation ✻

Yes No

Parental Unit/Legal Guardian name ✻

My parental unit/legal guardian contact info (List only an email address or phone number that will be monitored frequently) ✻

I am prepared to serve a term of 18 months (May of the current program year through October of the following program year) ✻

Yes No

ESSAY QUESTIONS:
Please complete at least a paragraph about the following topics. This should be completed either typed or handwritten. Please upload your essay questions at the end of the survey.

#1 – What are you going to bring to the Alameda County Ambassador program?

#2 – What do you expect the Alameda County Ambassador program to do for you?

Applicant information

First Name ✻

Last Name ✻

Pronouns:

How do you wish to be referred to ✻

Email (address that is monitored frequently) ✻

Contact phone number ✻

Is this a cell phone and able to receive text?

Mailing Address ✻

How would you like to receive updates? ✻

4-H age as of Dec 31st of current year. ✻

Birthdate ✻

Current year in school ✻

4-H Club

Years in 4-H ✻

What MAJOR Project(s) have you been involved with? Include the Project Name, Number of Years in that Project and your 4-H Project Leader ✻

Item 1. Three letters of recommendation are required. Please give the people you chose for letters of recommendation this link to submit the letter online.

http://ucanr.edu/survey/survey.cfm?surveynumber=29328

Reference 1: 4-H Adult Volunteer not related to applicant
Reference 2: An unrelated adult from outside of the 4-H Program (examples: coach, teacher, pastor)
Reference 3: A peer of the applicant 18 years old or younger

Reference 1:

Name/Contact Info ✻

Reference 2:

Name/Contact Info ✻

Reference 3:

Name/Contact Info ✻

Item 2-5: Please upload the following:

your answers to the 2 Essay questions (the two essays may be on one document for uploading)
Autobiographical (or My 4-H) Story
Resume
Record Book "Star Rank" page OR Alternate Documents.

If you are selected as an 4-H Alameda County Ambassador, who would you like to see as an adviser? (Advisers must be registered Certified Adult 4-H Volunteers, must be at least 18 years old and may not be your parent or sibling)

Please list the names and contact information for two adult volunteers you would like to work with on the County Ambassador Team. ✻

Upload your file(s)