4-H Alumni Story

1. First Name

2. Last Name

3. Maiden Name (if applicable)

4. Email Address answer must be an email address

5. Phone Number answer must be phone number with area code like 217-333-1000

6. Occupation

7. Employer

8. Job Title

Please list county and state

9. Where did you grow up in 4-H?

Please list county and state

10. # years in 4-H

Please list school attended, degree(s), graduation dates (ie. University of Illinois, B.S. '75 Ag Education; M.S. '80 Crop Sciences or a technical degree obtained)

11. Post Secondary Education/Degree

Please list school attended, degree(s), graduation dates (ie. University of Illinois, B.S. '75 Ag Education; M.S. '80 Crop Sciences or a technical degree obtained)

12. What were your favorite 4-H project areas?

13. Did any of your 4-H projects instill a career path for you?

14. What did you learn through 4-H that benefits you today?

15. How did 4-H contribute to your leadership skills today?

16. What advice would you give a current 4-H member?

17. What advice do you have for someone who wants to enter your career path?

18. Why should young people join 4-H today?

19. Do you currently volunteer or have volunteered with the 4-H program? If so, in what capacity.

Please upload a head/shoulder photo of yourself. By uploading a photo you agree to allow use by the Illinois 4-H program.

20. Upload Photo (maximum file size: 15MB)

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