4-H Family and Consumer Science Award Cover Sheet
This is the cover sheet to be attached to all submission information.
Identification will be removed from the application materials to improve objectivity
when judging. Remember, none of the materials will be returned. Do
not send by e-mail or fax. Please print out this
form and fill in the information and send with submission information.
Send materials to: Jan Scholl, 323 Ag Administration
Building, University Park, PA 16802.
Deadline: All materials must be received by June
15 every year.
Name_____________________________________________________________
County__________________________ E-mail Address______________________
Mailing Address _____________________________________________________
Name of Program, Project, or Idea _______________________________________
Category of Entry (of the 3 offered)_______________________________________
I certify that I have developed these ideas/materials and that adequate credit
has been given for activities or ideas that may have been adopted or adapted.
If ideas or materials have been used directly from a source, a letter must be
provided to document that permission has been received. Complete source information
must be cited for recipes. In no way have I falsified or failed to disclose
negative aspect of the program, project, or idea. I will abide by the decision
of the judges.
Signature of Applicant_________________________________________________
Signature of Submitter (if different from above)_______________________________
County and/or Address of Submitter ______________________________________
Abstract of 150 words or less to be used in award presentation if the program,
project, or idea is deemed a winner.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Attach supportive materials.
Contact for questions
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to Jan Scholl's home page |
Updated 5/24/05