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Request for Information

The following information will be forwarded on to the local county extension office for the county you specify. A representative from that office will follow up on your request for information or enrollment.

All information provided is protected under the student record laws and will not be shared with anyone other than the appropriate Extension staff and 4-H volunteers as needed to process your request.

I want to join a 4-H in county.
I would like to participate: in a 4-H club or as an independent member.

Last Name First Name Middle Initial

Mailing Address
City State
Zip Code
Parent/Guardian Information:
Last Name First Name Middle Initial
Relationship to you
Mailing Address (if different from yours)
City State Zip Code
Home Phone
Work Phone
 
Last Name First Name Middle Initial
Relationship to you
Mailing Address (if different from above)
City State Zip Code
Home Phone
Work Phone
 

4-H Projects:

More than 150 4-H projects are available. Some counties offer additional projects unique to their counties. If you know which types of projects you wish to enroll in, please indicate below. Contact the Extension Office for information about project manuals as the cost may vary in some counties where funds are available to help defray the cost.




Environmental & Earth Sciences


Animal Science

Comments: Include additional projects, questions or other comments

 

 

 

Independent Member: Any 4-H project may be taken as independent study, without joining an organized group.

2003 UNL Cooperative Extension, 4-H Youth Development, Lincoln, NE 68583  (402) 472-2805   Contact Webmaster.