4-H Geology Record
Name_________________________________________ Girl____ Boy____ Grade_____ Year born_____________
(first)
(last)
Club Name_____________________________________ Leader_________________ County___________________
Year in 4-H _________Year in this project ________
A record is part of your 4-H project. Keep your record neat, clean, and up-to-date. If you need help, ask your parents or
leader. If you need more space, attach another sheet of paper.
Things I Hope to Do and Learn This Year
Field Trips
(Record date and place, and describe at least one land form and one or more rocks and/or minerals found on each trip)
Places I Visited This Year
(Tell what, where, when and what you saw and learned)
4-H Youth Development
421-02R
May 2013
Article or Story Read
(Title, who wrote it, and what you learned)
Names of People I Met or Who Helped Me
Rocks and Minerals I collected this year
Rocks purchased or received as gifts this year
Plans for Next Year
Record Review and Comments
____________________________________ has completed their records and I have reviewed them with him/her.
(Member)
Comments by leader:
Signed _________________________________ 4-H Leader
© 2013. Oregon State University 4-H Youth Development. This publication was adapted from 4-H 340R. Oregon State University Extension Service
offers educational programs, activities, and materials– without discrimination based on race, color, religion, sex, sexual orientation, national origin,
age, marital status, disability, or disabled veteran or Vietnam-era veteran status. Oregon State University Extension Service is an Equal Opportunity
Employer.
4-H Youth Development
421-02R
May 2013