Printable Version of Congress Application (Word)

 

MONTANA 4-H CONGRESS 
Fallon County Application 
Fallon County: June 1st

Qualifications: 

  •  Member must be 13 years of age or older as of October 1st of the current 4-H Year to be eligible.
  • Member should be in good standing in order to attend Montana 4-H Congress.
  • Member must have competed in a County Event and have received a Blue Ribbon to be eligible to attend Congress and compete.
  • Fallon County youth: 4-H Record Books must be up-to-date and turned in with application.
  • Delegate agrees to attend all workshops and meetings at Congress to which they are assigned.
  • Delegate must give a report to the 4-H Council and at Achievement Night. Additional sharing of your positive
    experience will enhance your chances of attending Montana 4-H Congress again.

SUBMIT APPLICATION TO:
Fallon County Extension 
MAIL: P.O. Box 850; Baker MT, 59313
EMAIL: fallon2@montana.edu 
FAX: (406) 778-3431

Name: ________________________________________________________ Date of Birth: ___________________ 
Years in 4-H: ______________________ Club: ______________________________________________________ 
What area have you pre-qualified in and wish to compete in at Montana 4-H Congress? 
Career Communications Demonstration/Illustrated Talk Fashion Review 
Gavel Games Horse Judging Horse Skill-a-Thon 
Livestock Judging Public Speaking Quilt Contest 
Stir-Up Video 
What are your goals for attending Montana 4-H Congress? 
Montana State University Extension is an ADA/EO/AA/Veteran’s Preference Employer and Provider of Educational Outreach. Revised: 5/2019
To what groups and when will you present a summary of your congress experience? 
What are your future goals for 4-H?
How have you contributed in 4-H Council fundraising activities? 
4-H Leaders Signature:__________________________________________________________Date: _____________
4-H Leaders Signature:__________________________________________________________Date: _____________
I accept and agree to all requirements to attend Montana 4-H Congress 
Member Signature :__________________________________________________________Date: _____________ 
Parent Signature:____________________________________________________________Date: ____________