2020-2021 California 4-H Youth Development Program Advisory Committee Application

Open recruitment for the UC ANR 4-H Youth Development Program (YDP) Advisory Committee membership takes place every spring. 4-H youth members, recent alumni, 4-H adult volunteers, county and state 4-H YDP staff, and program partners and collaborators are invited to apply. Please read the complete list of committee descriptions and the application and appointment process here before applying. Some committees will require supplemental application materials.

✻ = Required

Name: ✻

County: ✻

Address: ✻

City: ✻

State: ✻

Zip Code: ✻

Phone: ✻

E-mail: ✻

Birthdate (for youth only):

Gender:

Male Female

Ethnicity/Race (check all that apply):

Asian/Pacific Islander American Indian/Alaskan Native Black/African American Hispanic/Latino/a White Other

How do you participate in 4-H (check all that apply): ✻

4-H Club Camping Programs School After-School Programs Not Applicable Other (if marked, explain below)

Other (please describe):

Years involved with 4-H: ✻

Place of Residence (check one that applies best): ✻

Farm Suburb or City (over 50,000) Rural/Non-Farm (under 10,000) Town (10,000-50,000) City (over 50,000)

Which group do you represent? ✻

4-H Member 4-H Adult Volunteer County 4-H Youth Development Program Staff State 4-H Youth Development Program Staff UC Administration Ex-Officio Program Partner

If program partner, what organization or entity do you represent?

Additional Application Materials (For all committees, please include a summary describing the following questions):

Why do you want to serve on that particular committee? ✻

What strengths and experience will you bring to the committee? ✻

What experiences do you have that are related to the Advisory Committee's subject area that you are applying for? ✻

If you are not enrolled in 4-H as a member, adult volunteer, or UC/4-H Youth Development staff, please include at least one reference (name/relationship/phone).

Please review the advisory committee description for additional items that may be requested for the application. Additional documents can be uploaded below.

By checking this box, I verify that this is my electronic signature (or that of my parent or guardian if I am under the age of 18). My electronic signature indicates that the information presented in the application is accurate and true to my knowledge, and that I have read and understand the member responsilibilities for the committee I am applying to. ✻

Yes, I verify this statement.

Parent/Guardian (if under the age of 18):

Date: ✻

IMPORTANT: Before submitting your application, please review the advisory committee descriptions for additional application materials that may be required.