Thank you for your interest in serving our community through the A-Team!

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1 Thank you for your interest in serving our community through the A-Team! Enclosed are two forms: A-Team Membership Form and A-Team Report Form. The forms are also available at Please take a moment to fill out the A-Team membership form and return it to the Extension Office by April. 1 if you are interested in participating in A-Team this year. (You must fill out this form & return it by April 1 to be eligible for A-Team.) A-Team Membership Form: A-Team members must be at least 12 years old by Jan. 1st of the current year. Complete this form. Check Areas of Interest these are suggestions 4-H members can volunteer in lots of different ways. If you would like to get a t-shirt, list the size & color on the form. The cost will be $5.00. (4-H Council will pay the remaining balance.) (t-shirts are optional). Return A-Team Membership form & $5.00 by April. 1. ($5.00 must be paid to order a t-shirt) A-Team Report Form: This form helps you track your volunteer hours. You need at least 20 hours of community service from at least 3 different events/activities to qualify for the end of the year recognition. Have the activity coordinator sign to verify you volunteered those hours at each event. Return A-Team Report Form by October 1. Recognition will be at the 4-H Achievement Banquet in November. A-Team members can continue to track volunteer hours after October 1st for the following year. A-Team Report Forms are available online and at the Extension Office. Questions?? Call the Extension Office at Guernsey County Extension embraces human diversity and is committed to ensuring that all research and related educational programs are available to clientele on a nondiscriminatory basis without regard to age, ancestry, color, disability, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, sexual orientation, or veteran status. This statement is in accordance with United States Civil Rights Laws and the USDA.

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3 A-Team Report Form This form helps you track your volunteer hours. You need at least 20 hours of community service from at least 3 different events/activities to qualify for the end of the year recognition. Have the activity coordinator sign to verify you volunteered those hours at each event. Return A-Team Report Form by October 1. Recognition will be at the 4-H Achievement Banquet in November. Name Club Address City Phone # Age (12 yrs & up as of Jan. 1) Date # Hours Volunteered Brief Description of what you did at Signature of Coordinator OVER

4 Continued.. Date # Hours Volunteered Brief Description of what you did at Signature of Coordinator Total # Events Total # Volunteers Hours What event did you enjoy the most? Why? Ideas to improve the program for next year. Return to: OSU Extension Guernsey Co., P.O. Box 300, 335-B Old National Rd., Old Washington, OH (DUE OCTOBER 1)

5 A-Team Membership Form A-Team members must be at least 12 years old by Jan. 1st of the current year. Complete this form. Check Areas of Interest these are suggestions 4-H members can volunteer in lots of different ways. If you would like to get a t-shirt, list the size & color on the form. The cost will be $5.00. (4-H Council will pay the remaining balance.) (t-shirts are optional). Return A-Team Membership form & $5.00 by April. 1. ($5.00 must be paid to order a t-shirt) Name Club Address City Phone # Age (12 yrs & up as of Jan. 1) - Check Areas of Interest We will contact you to help with 4-H & Jr. Fair Events that you have checked. Jr. Fair Livestock Skill-a-thon 4-H Project Judging YAC Challenge (Public Speaking Contest) Cookie Dough Pick-up Jr. Fair Committees/Work Day/Fundraisers/Shows 4-H Camp Counselor( Application/selection required) 4-H Cloverbud Camp Reading Makes the Best Better (4-H Week) Shake Shack 4-H Pet Pals Extension Office Assistance (help prepare packets/mailings) 4-H Club Booth Set-up/Tear Down Public Library Summer Volunteer School Volunteer Vacation Bible School Volunteer Nursing Home Volunteer Sack Lunch Program Dog Pound Rotary Secret Santa Sporting Event Other: OVER

6 A-Team T-shirt order (optional) - I would like an A-Team t-shirt. (Cost is $5.00. Make checks payable to OSU Extension) ($5.00 must be paid to order a t-shirt). Size (please check): YL (youth 14-16) AS (youth 18-20) AM AL AXL 2XL (Add $2.00) Colors (circle one): Royal Blue Dark Green Light Pink Orange Brown Red Navy Kelly Green Hot Pink Gold Dark Grey Maroon Aqua Safety Green Lavender Island Yellow Black Kiwi Purple Khaki Return to: OSU Extension, Guernsey Co., PO Box 300, 335-B Old National Road, Old Washington, Ohio (DUE APRIL 1)