utah 4-h portfolio e fwe have reviewed this portfolio and believe it to be a correct reflection of...

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UTAH 4-H One form per year. Update and replace annually. Member’s Name: This entry form is for the year: # of yrs in 4-H (grades 3-12): Street Address: Grade in School as of Jan. 1 st : Date of Birth: City, State, Zip Home Phone Number: List 4-H projects / categories completed this year which are being reported in this record book: APPROVAL OF THIS REPORT We have reviewed this portfolio and believe it to be a correct reflection of this member’s activities in the Utah 4-H Program: Date: , 20 Signed: (Member) Date: , 20 Signed: (Parent or Guardian) Date: , 20 Signed: (Local 4-H Leader) Date: , 20 Signed: (Local 4-H Leader) Date: , 20 Signed: (Local 4-H Leader) Date: , 20 Signed: (Extension Agent) Revised 10/2008 PORTFOLIO ENTRY FORM

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UTAH 4-H

One form per year. Update and replace annually. Member’s Name: This entry form is for the year:

# of yrs in 4-H (grades 3-12):

Street Address: Grade in School as of Jan. 1st :

Date of Birth: City, State, Zip Home Phone Number:

List 4-H projects / categories completed this year which are being reported in this record book:

APPROVAL OF THIS REPORT We have reviewed this portfolio and believe it to be a correct reflection of this member’s activities in the Utah 4-H Program:

Date: , 20 Signed: (Member)

Date: , 20 Signed: (Parent or Guardian)

Date: , 20 Signed: (Local 4-H Leader)

Date: , 20 Signed: (Local 4-H Leader)

Date: , 20 Signed:

(Local 4-H Leader) Date: , 20 Signed:

(Extension Agent)

Revised 10/2008

PORTFOLIO ENTRY FORM

PROJECTS/ CATEGORIES

CODE PROJECTS/CATEGORIES*

CODE PROJECTS/CATEGORIES*

CODE PROJECTS/CATEGORIES*

A CITIZENSHIP & CIVIC EDUCATION

D ENVIRONMENTAL EDUC ATION &

EARTH SCIENCE FI Reading Literacy

AB Citizenship (local, state, national)

DA Env ironmental Stewardship

FJ Social Recreation Skills

AC Cultural Education

DB Earth, Water & Air

FK Values Clarif ication

ACA Genealogy

DBA Geology & Minerals

FL Character Education

AD Global Education

DBB Weather & Climate G PL ANTS & ANIMALS

AH Serv ice Learning

DBC Soils & Soil Conserv ation

GA Ag in the Classroom

AI Community Serv ice

DBD Water

GB Animals

B COMMUNICATIONS AND

EXPRESSIVE AR TS

DC Energy

GBB Beef

BA Communication Arts

DD Forests, Rangeland & Wildlif e

GBC Birds & Poultry

BAA Speaking/Radio/TV

DDA Forestry

GBD Cats

BAB Writing/Poetry

DDB Range Science

GBE Dogs

BB Perf orming Arts

DDC Wildlif e & Fisheries

GBEG Raising Guide Dogs

BBA Clowning/Mime

DE Outdoor Education

GBF Dairy Cattle

BBB Dance Mov ement

DEA Adv enture/Challenge

GBG Goats (dairy, hair meat)

BBC Drama/Theater

DEB Shooting Sports

GBH Horse/Pony

BBB Music/Sound

DF Waste Management / Recycling

GBI Rabbits/Cav ies

BC Visual Arts

E HEALTH Y LIFESTYLE

EDUCATION GBJ Sheep

BCA Arts and Craf ts

EA Chemical Health

GBK Small Lap Animals, Pets

BCAB Beading

EB Mental & Emotional Health

GBL Swine

BCAC Ceramics

EC Foods & Nutrition

GBM Alpacas & Llamas

BCAD Porcelain Doll

ECB Foods Saf ety

GC Plants

BCAF Flower Arranging

ECC Foods Preserv ation

GCA Crops/Weeds

BCAL Leather Craf t

ECD Foods Preparation

GCB Flower Garden/House

BCAP Paper Craft

ECDB Breads

GCC Gardens - Fruit/Vegetable

BCAR Fabric Craft

ECDO Outdoor Cooking H SCIENCE & TECHNOLOGY

BCAV Plastic Canv as

ECF Cake Decorating

HA Science/Technology Literacy

BCAW Wood Carv ing/Engrav ing

ED Phy sical Health

HB Biological Sciences

BCB Drawing, Painting, Sculpture

EDA Fitness & Sports

HBA Animal Science

BCC Graphics Arts, Display s, Exhibits

EDBA Health Rocks

HBC Entomology & Bees

BCD Photography , Video

EDC Home Nursing, First Aid, CPR

HBH Poultry Science/Embry ology

C CONSUMER AND FAMIL Y SCIENCES

EE Saf ety

HBI Veterinary Science

CA Child Dev elopment, Child Care

EEA ATV Saf ety

HC Technology & Engineering

CB Clothing & Textiles

EEE Emergency Preparedness

HCA Aerospace

CBA Sewing Construction

F PERSON AL DEVELOPMEN T &

LEADERSHIP HCB Automotiv e

CBB Wardrobe Management

FA Career Exploration & Employ ability

HCC Bicy cle

CBC Modeling

FC Economics, Business & Marketing

HCD Computer Technology

CBD Quilting

FCA Entrepreneurship

HCDA Robotics

CBE Knitting

FCB Mini Society

HCE Electric

CBF Crochet

FD Introductory 4-H Projects (5-8 y rs)

HCF Electronics

CBG Needlecraft/Knot Ty ing

FE Hobbies & Collections

HCFA GPS/GIS

CC Consumer Education

FF Leadership Skills Dev elopment

HCFB HAM Radio

CCA Financial Literacy

FG Leisure Education (general)

HCH Wood Science/Industrial

CD Home Env ironment

FH Personal Dev elopment (general)

HD Phy sical Sciences

*Categories are those with single letter codes.

Revised 10/2008

Revised 10/2008

UTAH 4-H

PROJECT IDENTIFICATION

Member’s Name: __________________________________________ Report Year: __________

4-H Project/Category: _Livestock______________________ Yrs in this Project/Category: ______

SIZE AND SCOPE

Hours Spent Income

Description Hours

Description

Amount

Attending 4-H Club Meetings/Activities Sale Price

Feeding Ribbon Premium Money

Grooming Boosts

Training to Lead Other Income

Other Total Income

Total Hours Spent

Production Summary Expenses

Description Description Total Cost

A. Beginning Weight Animal Purchase Expenses

B. Beginning Date Feed Expenses 1

C. Ending Weight Feed Expenses 2

D. Ending Date Feed Expenses 3

E. Total Weight Gained = C – A Equipment Expenses

F. Number of days on feed = D - B Health Expenses

Average Daily Gain = E / F Other Expenses

G. Total pounds of feed Total Expenses

Pounds gained per pound of feed = E/G Profit/Loss

= Total Income – Total Expenses

SECTION 1 PART A

PROJECT REPORT FORM

Revised 10/2008

UTAH 4-H

KNOWLEDGE LEARNED:

SKILLS LEARNED:

SECTION 1 PART B

PROJECT REPORT FORM

Revised 10/2008

UTAH 4-H

Date

Type of Experience or Activity

Lev

el

SECTION 2

4-H EXPERIENCES & ACTIVITIES

Revised 10/2008

Date

Type of Experience or Activity

Lev

el

Revised 10/2008

UTAH 4-H

Date Name of Contest Project or Item Entered

Place

and/or

Award

$ Value of

Premiums

if any Lev

el

SECTION 3

4-H ENTRIES, AWARDS & RECOGNITIONS

Revised 10/2008

Date Name of Contest Project or Item Entered

Place

and/or

Award

$ Value of

Premiums

if any Lev

el

Revised 10/2008

UTAH 4-H

Date

Leadership Role Responsibilities

Ty

pe

Lev

el

SECTION 4

4-H LEADERSHIP

Revised 10/2008

Date

Leadership Role Responsibilities

Ty

pe

Lev

el

Revised 10/2008

UTAH 4-H

Date

Description of Community Service

Lev

el

Ho

urs

SECTION 5

4-H COMMUNITY SERVICE

Revised 10/2008

Date

Description of Community Service

Lev

el

Ho

urs

Revised 07/2008

UTAH 4-H

Date Description of Non-4H Experiences

Org

an

iza

tio

n

SECTION 6

NON 4-H EXPERIENCES

Revised 07/2008

Date Description of Non-4H Experiences

Org

an

iza

tio

n

Revised 10/2008

UTAH 4-H

Year

SECTION 7

MY 4-H STORY

Revised 10/2008

Revised 10/2008

UTAH 4-H

Year

SECTION 8

4-H PHOTOGRAPHS

Revised 10/2008