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Jefferson County

jeffco@jeffersoncountywi.gov

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

FRIEND OF 4-H NOMINATION FORM

The Friend of 4-H Award honors an individual, group, organization or business that has provided ongoing and significant services to support the 4-H program in Jefferson County.

Nominations may be completed by a club, leader, member, family, parent or anyone within the 4-H program who is knowledgeable about the nominee.

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 Friend of 4-H Award.