FS00660 4-H OWLS Program Application Form

Required fields marked with a red asterisk (*).

Applicant Information

First Name *

Last Name *

Address *

City *

State *

Country *

Zip *

Phone *

Email *

Date of Birth *

Age: *

Gender *

References

Give names and addresses of three persons (not relatives) having knowledge of your character, experience, work, habits and ability. At least one should be a 4-H Youth Program Advisor or a teacher in a relevant subject (environmental science, FFA, biology, etc.).

	Name	Relationship to Applicant	Phone
1	Name	Relationship to Applicant	Phone
2	Name	Relationship to Applicant	Phone
3	Name	Relationship to Applicant	Phone

Written Statements

Please answer the following questions in no more than five typed pages, then use the "Browse" button below to upload your statement document (preferably in Microsoft Word format).

4-H Experiences
- Summarize your involvement in 4-H (local, county, state and national levels). Do not list ribbons or awards.
- What has been your most-rewarding 4-H experience and why?
Outdoor Experiences and Perceptions
- Summarize your outdoor experiences (in 4-H, summer camps, personal trips and other activities).
- What are some issues facing natural resources today?
Personal Statement
- What would you contribute to the South Dakota 4-H OWLS Program?
- Why do you want to be a participant in the OWLS program?

Upload Statement *

Agreement

I have prepared this application personally. To the best of my knowledge, this information is truthful and accurate. If selected, I am willing to accept the responsibilities and attend all experiences of a South Dakota 4-H OWLS Program participant.

Applicant Signature *

Parent or Guardian Signature *