4-H Club Community Service Reports

✻ = Required

Club

Month and Year of Project Completion

What did you do? ✻

Where did you do it?

Please estimate the total number of youth members involved ✻

Please estimate the total number of adults involved ✻

Please estimate the average time each person dedicated to this project in hours (Example, if this was a quick project that took about 15 minutes for each person, please report it as .25) ✻

Email address for verification. (Not required, but if you include and Email here, you will receive an Email message to verify that your report was received.)