Skip to form

Jefferson County

jeffco@jeffersoncountywi.gov

311 S. Center Avenue, Jefferson, WI, 53549, US

GREEN AND GOLD NOMINATION FORM

The Green and Gold Award recognizes youth and adults that have demonstrated a consistent effort of volunteer services to their club, county, project and/or the association. Nominations of adult leaders/volunteers must be certified leaders within the Jefferson County 4-H Program to be eligible for this award.

Nominator (Your) Name

Full Address

Name of Nominee:

In the space below, please describe why you feel this nominee deserves to be honored with the Green and gold Award.