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K-State Extension Pottawatomie County
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  • 4-H Youth Development
  • Achievement Forms

4-H Achievement Forms

Cloverbud Achievement Plan

1-Membership Achievement Plan

2-Bronze Achievement Plan

3-Clover Achievement Plan

4-Emerald Achievement Plan

5-Silver Achievement Plan

6-Silver Guard Achievement Plan

7-Leadership Achievement Plan

8-Gold Pin Achievement Plan

9-Gold Guard Pin Achievement Plan

4-H Key Award

Outstanding 4-H'er, Junior

Outstanding 4-H'er, Junior, form fillable

Outstanding 4-H'er Award, Intermediate and Senior

Outstanding 4-H'er Award, Intermediate and Senior, form fillable

Public Presentation Award Application

"I Dare You" Award Recommendation Form

"I Dare You" Award - Word format

The Thelma Hubbard Memorial - PDF

The Thelma Hubbard Memorial - Word

4-H Service Award - PDF

4-H Service Award - Word

Purple Seal Club Application - PDF

Contacts:

Amber Sharpe, CEA

4-H Youth Development

Pottawatomie County Extension

asharpe@ksu.edu
785-457-3319

Pottawatomie County

K-State Research and Extension

P.O. Box 127

612 E Campbell Street, Westmoreland, KS 66549

785-457-3319 | pt@listserv.ksu.edu

Hours:

8:00 a.m. to 4:30 p.m.

Closed on designated holidays

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  • Updated: 11/26/25