232 Plaza Road
Kingston, NY 12401-2928
Phone 845.340.3990
Fax 845.340.3993
4-H LIFETIME PORTFOLIO
NAME: _______________________________________________________________________
ADDRESS: ____________________________________________________________________
TELEPHONE: ___________________________________
DOB: ___________________
YEAR STARTED IN 4-H: __________________
SCHOOLS ATTENDED:
___________________________________________ FROM: ____________ TO: ____________
___________________________________________ FROM: ____________ TO: ____________
___________________________________________ FROM: ____________ TO: ____________
4-H CLUB(S) NAME(S):
(past or current club membership)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
(BEFORE TURNING IN, MAKE A COPY FOR YOUR RECORDS)
HOW TO FILL OUT A 4-H ACTIVITY REPORT
Listed is an explanation of each page of this 4-H Activity Report. Please read carefully before filling out the pages of this
report. Include all the activities you did each year to keep your report complete and accurate. You will use this activity
report when you apply for any award, scholarship, medal or certificate in Ulster County.
SECTION 1 – SUBJECT AREAS FOR 4-H PROJECTS:
List one of the subject areas below or a subject area from the Ulster County Fair Book on the top of your 4-H Project
page. Have at least one page for each subject area. Put the year, name of the project and the awards (blue, red or white,
etc.) received if entered in the County and/or State Fair. Leave blank if not entered in these events.
 AEROSPACE (Rocketry)
 PHOTOGRAPHY
 ARTS & CRAFTS (i.e.: drawing, painting,
 WOODWORKING
ceramics, tie-dying, decoupage, silk flower
 BEEF
arrangements etc.)
 DAIRY
 CLOTHING & TEXTILES-(i.e.: Needlework,
 DOG
Pillows, Quilts, Vest, Dress, etc.)
 GOAT
 ELECTRIC ENERGY
 HORSE
 FOOD & NUTRITION
 POULTRY
 GARDENING & HORTICULTURE (i.e.: Flowers,
 RABBIT
Vegetables, Indooor Gardening, etc.)
 SHEEP
 NATURAL RESOURCES- (i.e.: Bluebirds, Flytying,
Recycled Projects, etc.)
SECTION 2 – OFFICES HELD IN 4-H:
List club or program and the office held that year, include any special duties performed.
SECTION 2 – CLUB JUNIOR LEADERSHIP:
Junior Leadership –when a 4-H member usually 13 to 19 years old, assists or teaches a project or activity.
Assistant Leader –a 4-Her assisting another project leader within their 4-H club etc.
Project Leader –a 4-Her who leads projects within their 4-H club or another 4-H club.
List the number of members taught and the responsibility you had in teaching the project(s).
SECTION 3 – 4-H COUNTY ACTIVITIES:
Put the year at the top and check all county activities you participated in. Add any additional activities under OTHER. If it
does not apply, do not check, leave blank.
 Achievement Night Attendance
 Dairy Show State Fair
 National 4-H Week
 Dairy Judging
 Hudson Valley Harvest Festival/4-H Fall Festival
 Dairy Bowl
 County Fair (# of Exhibits)
 Dairy Challenge
 County Fair Milkshake Booth
 Dog Obedience
 County Fair Snack Bar
 Dog Grooming
 State Fair (# of Exhibits)
 Dog Graduation
 State Fair Working Booth
 Dog Show - County
 Clothing Revue- County
 Dog Show - District
 Clothing Revue – State Fair
 Dog Show - State Fair
 Teen Council
 Horse Bowl - County
 Culinary Program
 Horse Bowl – Regional
 Tractor Safety
 Horse Clinic
 4-H Veterinary Science
 Horse Show – County
 Dairy Show County (# of Exhibits)
 Horse Show – Regional






Horse Show – State
Horse Judging
Horse Judging – County Team
Rabbit Decathlon
Rabbit Agility
Rabbit Show






Rabbit Show – County Fair
Rabbit Show – State Fair
Sheep Show – County Fair
Sheep Show – State Fair
Cat Show
4-H Camp
SECTION 3 – 4-H AWARDS:
Put the year at the top of the row and check all awards received that year. Please write-in any additional awards under
OTHER. If an award does not apply leave blank.
 Honor President/Vice President
 Above & Beyond Award
 Honor Secretary
 County Certificate(s)
 Honor Treasurer
 County Medal(s)
 Outstanding News Reporter
 Capital Days
 Honor Choose Health Officer
 Fabric Store Gift Certificate
 Heart of 4-H Award
 Specialist Award
 Making the Best Better Award
SECTION 3 – 4-H COUNTY LEADERSHIP:
Put the year at the top of the row and check the event you had a leadership role in. Add any additional activities under
OTHER. If it does not apply, do not check, leave blank.
 Achievement Night Presenter or Helper
 State Fair Teen Leader
 Educator for 4-H County Showmanship
 Teen Council
Workshop
 Teen Overnight
 Presenter or Helper for 4-H County Event
 Teen Assistant-Judge (# of times)
 Clothing Revue-Teen Commentator
 County Fair Youth Barn Coordinator
SECTION 4 – PUBLIC PRESENTATIONS:
Give the year and topic which was presented. Check and/or give the award received at the level (club, county, district,
etc.) at which this topic was presented.
SECTION 4 – OTHER COMMUNITY ACTIVITIES:
Please list year, nature of the activity, office or position held and give a brief explanation of the organization/event so
we can understand your participation.
SECTION 5 – COMMUNITY SERVICE:
The definition of Community Service is providing assistance that benefits someone outside the member’s family. (i.e.:
collecting can goods for a food pantry, visiting a nursing home, helping with a community clean-up, etc.)
Please fill in the year, description of the community service and number of hours completed in this year. (i.e.: 2
hours/week X 42 weeks= 84 hours)
SECTION 5 – 4-H MARKETING:
The definition of Marketing is when a 4-H member is providing public awareness and information about the 4-H program
(i.e.: parades, information booths, etc.)Please fill in the year, description of the marketing event and number of hours
completed in this year. (i.e.: 4 hours at an information booth at community event).
SECTION 1
4-H PROJECTS
Label pages with one of the following subject areas: AEROSPACE, ARTS & CRAFTS, CLOTHING & TEXTILES, ELECTRIC ENERGY, FOOD & NUTRITION, GARDENING
& HORTICULTURE, NATURAL RESOURCES, PHOTOGRAPHY, WOODWORKING, DAIRY, DOG, GOAT, HORSE, POULTRY, RABBIT, SHEEP
SUBJECT AREA: ______________________________________________________________________________________________________________________
YEAR
NAME OF PROJECT
COUNTY FAIR AWARD
STATE FAIR AWARD
OTHER
SECTION 1
4-H PROJECTS
Label pages with one of the following subject areas: AEROSPACE, ARTS & CRAFTS, CLOTHING & TEXTILES, ELECTRIC ENERGY, FOOD & NUTRITION, GARDENING
& HORTICULTURE, NATURAL RESOURCES, PHOTOGRAPHY, WOODWORKING, DAIRY, DOG, GOAT, HORSE, POULTRY, RABBIT, SHEEP
SUBJECT AREA: ______________________________________________________________________________________________________________________
YEAR
NAME OF PROJECT
COUNTY FAIR AWARD
STATE FAIR AWARD
OTHER
SECTION 1
4-H PROJECTS
Label pages with one of the following subject areas: AEROSPACE, ARTS & CRAFTS, CLOTHING & TEXTILES, ELECTRIC ENERGY, FOOD & NUTRITION, GARDENING
& HORTICULTURE, NATURAL RESOURCES, PHOTOGRAPHY, WOODWORKING, DAIRY, DOG, GOAT, HORSE, POULTRY, RABBIT, SHEEP
SUBJECT AREA: ______________________________________________________________________________________________________________________
YEAR
NAME OF PROJECT
COUNTY FAIR AWARD
STATE FAIR AWARD
OTHER
SECTION 1
4-H PROJECTS
Label pages with one of the following subject areas: AEROSPACE, ARTS & CRAFTS, CLOTHING & TEXTILES, ELECTRIC ENERGY, FOOD & NUTRITION, GARDENING
& HORTICULTURE, NATURAL RESOURCES, PHOTOGRAPHY, WOODWORKING, DAIRY, DOG, GOAT, HORSE, POULTRY, RABBIT, SHEEP
SUBJECT AREA: ______________________________________________________________________________________________________________________
YEAR
NAME OF PROJECT
COUNTY FAIR AWARD
STATE FAIR AWARD
OTHER
SECTION 2
OFFICES HELD IN 4-H
List club or program and the office held that year, include any special duties performed.
YEAR
CLUB/PROGRAM
OFFICE HELD
AWARD RECEIVED
OTHER
SECTION 2
OFFICES HELD IN 4-H
List club or program and the office held that year, include any special duties performed.
YEAR
CLUB/PROGRAM
OFFICE HELD
AWARD RECEIVED
OTHER
SECTION 2
CLUB JUNIOR LEADERSHIP
Junior Leadership – is when a 4-H member usually 13 to 19 years old, assists or teaches a project or activity. Assistant Leader – is a 4-Her assisting another
project leader within their 4-H club etc., Project Leader – is a 4-Her who leads projects within their 4-H club or another 4-H club. List the number of members
taught and the responsibility you had in teaching the project(s).
YEAR
ASSISTANT OR PROJECT LEADER
# OF MEMBERS LEAD
WHAT WAS YOUR RESPONSIBILITY?
SECTION 2
CLUB JUNIOR LEADERSHIP
Junior Leadership – is when a 4-H member usually 13 to 19 years old, assists or teaches a project or activity. Assistant Leader – is a 4-Her assisting another
project leader within their 4-H club etc., Project Leader – is a 4-Her who leads projects within their 4-H club or another 4-H club. List the number of members
taught and the responsibility you had in teaching the project(s).
YEAR
ASSISTANT OR PROJECT LEADER
# OF MEMBERS LEAD
WHAT WAS YOUR RESPONSIBILITY?
SECTION 3
4-H COUNTY ACTIVITIES
Put the year at the top and check all county activities you participated in. Add any additional activities under OTHER. If it does not apply, do not check, leave
blank.
ACTIVITIES
Achievement Night Attendance
National 4-H Week
Hudson Valley Harvest Festival/ 4-H Fall
Festival
County Fair Set-Up Day
County Fair (# of Exhibits)
County Fair Working Booth
State Fair (# of Exhibits)
State Fair Working Booth
Clothing Revue - County
Clothing Revue - State Fair
Teen Council
Culinary Program
Tractor Safety
4-H Veterinary Science
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 3
4-H COUNTY ACTIVITIES
Put the year at the top and check all county activities you participated in. Add any additional activities under OTHER. If it does not apply, do not check, leave
blank.
ACTIVITIES
Dairy Show County (# of Exhibits)
Dairy Show State Fair
Dairy Judging
Dog Obedience
Dog Grooming
Dog Graduation
Dog Show - County
Dog Show - Regional
Dog Show - State Fair
Horse Bowl - County
Horse Bowl – Regional
Horse Clinic
Horse Show - County
Horse Show - Regional
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 3
4-H COUNTY ACTIVITIES
Put the year at the top and check all county activities you participated in. Add any additional activities under OTHER. If it does not apply, do not check, leave
blank.
ACTIVITIES
Horse Show - State
Horse Judging
Rabbit Decathlon
Rabbit Agility
Rabbit Show
Rabbit Show – County Fair
Rabbit Show – State Fair
Sheep Show - County Fair
Sheep Show - State Fair
Cat Show
4-H Camp
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 3
4-H COUNTY ACTIVITIES
Put the year at the top and check all county activities you participated in. Add any additional activities under OTHER. If it does not apply, do not check, leave
blank.
ACTIVITIES
OTHER (write in)
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 3
4-H COUNTY LEADERSHIP
Put the year at the top of the row and check the event you had a leadership role in. Add any additional activities under OTHER. If it does not apply, do not check,
leave blank.
EVENT
Achievement Night Presenter or Helper
Educator for 4-H County Showmanship
Workshop
Clothing Revue-Teen Commentator
County Fair Youth Barn Coordinator
State Fair Teen Leader
Teen Council
Teen Overnight
Teen Assistant-Judge (# of times)
Other (write in)
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 3
4-H AWARDS
Put the year at the top of the row and check all awards received that year. Please write-in any additional awards under OTHER. If an award does not apply leave
blank.
AWARDS
Capital Days
County Certificate(s)
County Medal(s)
Honor President/Vice President
Honor Secretary
Honor Treasurer
Outstanding News Reporter
Heart of 4-H Award
Making the Best Better Award
Above & Beyond Award
Specialist Award
OTHER (write in)
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 3
4-H AWARDS
Put the year at the top of the row and check all awards received that year. Please write-in any additional awards under OTHER. If an award does not apply leave
blank.
AWARDS
OTHER (write in)
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
YEAR
SECTION 4
PUBLIC PRESENTATION
Give the year and topic which was presented. Check and/or give the award received at the level (club, county, district, etc.) at which this topic was presented.
(LIST AWARD IF ONE WAS GIVEN)
YEAR
TOPIC DESCRIPTION CLUB
COUNTY
DISTRICT
STATE FAIR
OTHER EXPLAIN
SECTION 4
OTHER COMMUNITY ACTIVITIES
Please list year, nature of the activity, office or position held and give a brief explanation of the organization/event so we can understand your participation.
(i.e.: school, church, other organizations)
YEAR
ACTIVITY
OFFICE/POSITION HELD
EXPLAIN ORGANIZATION/EVENT & PURPOSE
SECTION 5
COMMUNITY SERVICE
The definition of Community Service is providing assistance that benefits someone outside the member’s family. (i.e.: collecting can goods for a food pantry,
visiting a nursing home, helping with a community clean-up, etc.) Please fill in the year, description of the community service and number of hours completed in
this year. (i.e.: 2 hours/wk X 42 wks= 84 hours)
YEAR
DESCRIPTION
# OF HOURS
SECTION 5
COMMUNITY SERVICE
The definition of Community Service is providing assistance that benefits someone outside the member’s family. (i.e.: collecting can goods for a food pantry,
visiting a nursing home, helping with a community clean-up, etc.) Please fill in the year, description of the community service and number of hours completed in
this year. (i.e.: 2 hours/wk X 42 wks= 84 hours)
YEAR
DESCRIPTION
# OF HOURS
SECTION 5
4-H MARKETING
The definition of Marketing is when a 4-H member is providing public awareness and information about the 4-H program (i.e.: parades, information booths, etc.)
Please fill in the year, description of the marketing event and number of hours completed in this year. (i.e.: 4 hours at an information booth at community
event).
YEAR
DESCRIPTION
# OF HOURS
SECTION 5
4-H MARKETING
The definition of Marketing is when a 4-H member is providing public awareness and information about the 4-H program (i.e.: parades, information booths, etc.)
Please fill in the year, description of the marketing event and number of hours completed in this year. (i.e.: 4 hours at an information booth at community
event).
YEAR
DESCRIPTION
# OF HOURS