4-H Logo Protected Under 18 U.S.C. 707 4-H 510
4-H Project Record
(complete this form for each project)
Use tab key to move cursor to each field. Field will expand as you type.
? This Record Belongs to: Year:
? Club Name:
Junior Intermediate Senior Years in 4-H Birth Date
? My Project is:
? Number of years in this project area:
? Date project started: (Month/Day/Year)
? Date this year project was completed: (Month/Day/Year)
? Size of project:
? Title of Project Activity Guide:
Level I,A Level 2,B Level 3,C Level 4,D Other
Year in Achievement Program Level:Year 1 Year 2 Year 3
Number of lessons completed during the 1st year:
ndNumber of lessons completed during the 2 year:
rdNumber of lessons completed during the 3 year:
? In this project, I would like to do and learn:
I have completed this record and believe all information to be complete and accurate.
Member Signature Date Volunteer/Leader Signature Date
Extension Educator Date
Date Communications Topic or Title Location Rating
Date Exhibit(s) Location Rating
Learning Experiences – Include project meetings/workshops, shows, concerts, learning
experiences, and anything related to your project. Record all the things as you do them.
Date What I Did What I Learned
Need more room? Add a page.
Income is all the monies you receive from the sale of services, products, and premiums for this
4-H Project. Expenses are all the items you paid for to support this 4-H Project.
Date Description of Income or Expense Income Expense
Income: $ 0.00
Expenses: $ 0.00
Profit (+) or Loss (-): $ 0.00
List resources you used to learn more about your project. Include books, people, Internet,
Describe the life skills you have learned /practiced in this project under each “H” of the 4-H
HEAD (managing and decision making):
HEART (relating and caring):
HANDS (giving and working):
HEALTH (living and being):
This project was . . .
This project has encouraged me to . . .
Supplemental Materials/Creative Time should be attached to your Record Sheet.
L. Martin Hamilton
Mary Ellen Waltemire Issued in furtherance of Cooperative Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, University of Maryland, College Park, and local governments. Thomas A. Fretz, Director of Maryland Cooperative Extension, University of Maryland. The University of Maryland is equal opportunity. The University’s policies, programs, and activities are in conformance with pertinent Federal and State laws and regulations on nondiscrimination regarding race, color, religion, age, national origin, sex, and disability. Inquiries regarding compliance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments; Section 504 of the Rehabilitation Act of 1973; and the Americans With Disabilities Act of 1990; or related legal requirements should be directed to the Director of Personnel/Human Relations, Office of the Dean, College of Agriculture and Natural Resources, Symons Hall, College Par, MD 20742.