Fillable Arizona 4-H Project Record (University of Arizona)

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Arizona 4-H Project Record (University of Arizona)

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Arizona 4-H Project Record
Revised 11/2014
Name:_______________________________
County:_____________________________
Date of Birth (MM/DD/YY) ______________ Age (prior to January 1st) ______________
4-H Club: _____________________________________________________________________
I declare that the information in this record is correct and all 4-H requirements have been complet-
ed, to the best of my knowledge.
Member’s signature ______________________________________________________________
Parent’s signature ________________________________________________________________
Leader’s signature ________________________________________________________________
Leader’s comments _______________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Note: Complete one record for each project. Your 4-H Records may
be hand written in pen or pencil, type written or computer generated.
Year
Project __________________
Years in Project (including this year) ______
AZ4H0903
2 Arizona Cooperative Extension
Project Goals
At the beginning of your 4-H project, list goals—
what do you want to make, learn, or do in this 4-H
project?
What steps are needed to reach your goals?
Arizona Cooperative Extension 3
Date Description
Project Activities
During the year, describe project activities completed and meetings attended.
4 Arizona Cooperative Extension
Project Accomplishments
To be completed as goals are completed.
Did you accomplish your goals? Why or why not? (include skills learned)
Recognition received in this project
Will you take this project next year? Why?
If you answered “Yes,” What would you like to learn next year?
Arizona Cooperative Extension 5
Project Inventory
Note: This inventory list is designed to be a tool to help you identify resources used in your
project. This is only an estimate of the value of all items listed in the inventory. You do not
need to consider depreciation. Record here food, fabric, materials, equipment, supplies, animals,
plants, feed, fertilizer, etc., on hand at the beginning and close of the project. All materials, food,
fabric, plants, animals and equipment bought after project begins should be listed under Expenses.
If you sell something from your inventory, be sure to list it under Income.
NAME OR DESCRIPTION
OF ITEM
A. BEGINNING OF PROJECT B. COMPLETION OF PROJECT
Number
or amount
Price
Each
Total
Value
Number
or amount
Price
Each
Total
Value
OPENING INVENTORY VALUE_______ CLOSING INVENTORY VALUE_______
TOTAL TOTAL
6 Arizona Cooperative Extension
Project Income and Expense Record
List animals, feed, equipment, materials, tools or supplies that you bought for your project. List any
income you made if you sold project animals, items made, premium money earned in your project, etc.
Date Item Income Expense
Total
Arizona Cooperative Extension 7
Financial Summary
Income
Closing inventory B
.............................................................................................................. (1) $__________
Income ................................................................................................................................... (2) $__________
Total Income (add lines 1+ 2 = 3) (3) $ _________
Expenses
Opening Inventory A
............................................................................................................ (4) $__________
Expenses
............................................................................................................................... (5) $__________
Total Expenses (add lines 4+ 5 = 6) (6) $ __________
Results of my financial investment
(Subtract line 3 - 6 = 7) (7) $ __________
How did you pay for this project? _________________________________________________________
______________________________________________________________________________________
Now that you have completed the financial summary, what did you learn?_______________________
______________________________________________________________________________________
______________________________________________________________________________________
How does this influence what you do next year?
______________________________________________________________________________________
______________________________________________________________________________________
What would you do differently? __________________________________________________________
8 Arizona Cooperative Extension
Thinking back on your year in this 4-H project…
At the end of your 4-H year, use this form to see what you might learned along the way. For example,
as a result of your work in this project this year, did you learn how to use your time better? If so, you
would indicate this in answer to question #3 below.
Follow the instructions below to complete this section.
Think back on your past year in this 4-H
project. Below are listed some skills that
you may have developed as a result of your
4-H involvement. Over in the columns to
the right, rate yourself on these skills at the
beginning of the 4-H year, and then now at
the end of the year.
Back . . . at the begin-
ning of the 4-H year
when I first enrolled in
this 4-H project
Now . . . after I have
participated in this 4-H
project for the year
c i r c l e o n e n u m b e r f o r e a c h s t a t e m e n t
No Sometimes Usually Yes
c i r c l e o n e n u m b e r f o r e a c h s t a t e m e n t
No Sometimes Usually Yes
1. Think about what might happen because of
my choices.
1
2 3 4 1 2 3 4
2. Plan how to use my financial resources.
1
2 3 4 1 2 3 4
3. Use my time wisely.
1
2 3 4 1 2 3 4
4. Treat people who are different from me with
respect.
1
2 3 4 1 2 3 4
5. Organize a group to meet its goal.
1
2 3 4 1 2 3 4
6. Contribute as a member of a team.
1
2 3 4 1 2 3 4
7. Accept responsibility for doing a job.
1
2 3 4 1 2 3 4
8. Choose activities that promote physical
health.
1
2 3 4 1 2 3 4
9. Avoid risky behaviors.
1
2 3 4 1 2 3 4
10. Understand it is important to follow through
on commitments I have made.
1
2 3 4 1 2 3 4
Issued in furtherance of Cooperative Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Jeffrey C.
Silvertooth, Associate Dean & Director, Economic Development & Extension, College of Agriculture Life Sciences, The University of Arizona.
The University of Arizona is an equal opportunity, affirmative action institution. The University does not discriminate on the basis of race, color, religion,
sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or genetic information in its programs and activities.
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Completed 26 May 2021

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