Loren Kruse/Successful Farming 4-H Leader Award

Successful Farming/Loren Kruse Outstanding 4-H Leader Award Nomination
Do you know someone that fits one of the following descriptions? (Please check all that apply)

Is a past or current 4-H Leader or Volunteer that has worked with the Iowa 4-H Program.This person has made a difference in your life.This person has made a difference in the lives of your fellow club members or other 4-H members in your county.This person has made a difference in the lives of 4-H club members in other counties or around the state.This person has made a special contribution to 4-H.
Name of Person Submitting Nomination

First NameLast Name
Relationship to Nominee
County
Phone Number

Area CodePhone Number
Email
example@example.com
Club Name
Number of years in 4-H
Name of Nominee

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County
Email
example@example.com
Phone Number

Area CodePhone Number
Number of years (and approximate dates) involved as a volunteer leader with 4-H:
List known awards relative to 4-H including County, Regional, State, and National Levels.
List specific actions of the nominee that exceed the expectations of their volunteer 4-H leadership (not generalizations). Please describe at length.
Describe the impact and results to the 4-H Community, how you PERSONALLY received their influence, and what they have done to “Make the Best Better”:
Additional noteworthy comments on service of character to youth outside of 4-H (if applicable):
In 50 words or less, explain why this person is deserving of the Loren Kruse/Successful Farming Outstanding Volunteer 4-H Leader Award:
Should be Empty:

Successful Farming/Loren Kruse Outstanding 4-H Leader Award Nomination