4-H Forms


Common Forms

4-H Charters  **NEW-Updated July 27, 2020

4-H Charter and Annual Renewal Process

Link contains:

  • Charter Completion Guide
  • Audit Checklist
  • Charter Annual Renewal (Fillable PDF or Word Document)
  • Smart Goals Supplement
  • Additional Resources

Resources for filling out Charters

Barron County 4-H Club/Group Charter Requirements/Deadlines

  • Financial Report (pages 5 & 6) Due September 1
  • Completed Audit Checklist Due September 1
  • Copy of the checkbook/savings account(s) registry for July 1-June 30 (can be printed from online) Due September 1
  • June or July ending bank statement Due September 1
  • Complete Wisconsin 4-H Charter Renewal Document (all pages) Due October 15
  • Current 4-H Club or 4-H Group Bylaws Due October 15
  • Annual 4-H club/group Calendar Covering October 1-September 30 Due October 15

4-H Scholarship Application (2020) 

The 2020 Barron County Scholarship Application is available to all 4-H youth meeting the listed criteria.  To be eligible for the Barron County 4-H Scholarship, you must:

  1. Be a member of 4-H for at least three years, currently enrolled and achieved in 4-H the previous year.
  2. Be graduating from 4-H in the current year.
  3. Be attending or planning to attend a 4-year college, 2-year technical college or other accredited post-secondary training program.

Scholarship Application PDF | (MS WORD)

Kathy Holten Memorial Scholarship

One $500 scholarship will be awarded to an individual enrolled in the Barron County 4-H
program and planning to graduate from 4-H this year.

Kathy Holten Memorial Scholarship-pdf            Kathy Holten Memorial Scholarship -Word
-one $500 scholarship
-application due June 1st of the current year, see application for information)



Health Form and Code of Conduct

Youth Event Health Form (PDF) – used by non-4-H members; 4-H members fill out health information in 4HOnline profile

Code of Conduct (PDF) – used by non-4-H members; 4-H members agreed to Code of Conduct in 4HOnline profile

Event Funding Request Form **Current 6/2020

*New 4-H Member/Certified Adult Leader Event Funding Forms were updated in 2019, please find current forms below;

4-H Youth Member Event Funding

4-H Certified Adult Leader Funding

Changes have been adopted to our 2019 4-H Member/Certified Adult Leader Event Funding Forms. Please take time to read the new forms included below. The major changes have been highlighted, but include:

  • Adults receiving reimbursement must be certified 4-H Adult Leaders and
    active on 4-H Online before the event
  • Funding will be a reimbursement up to $150 per 4-H member/Certified Adult
  • If participating in a National trip, the 4-H Adult Leader’s Council will pay 50% of the trip, but the additional $150 reimbursement is not allowed on that particular trip
  • Cost of room is divided by number of 4-H Youth & Certified Adult Leaders
  • 4-H members are not eligible for transportation reimbursement. The Certified Adult Leader who transported them would be.

These changes were adopted in order to make it possible for as many youth to have the opportunity for experiences through the 4-H program. The
4-H Adult Leader Council works hard to provide youth with trips, scholarships, and meaningful award ceremonies with fundraising dollars. The reimbursement  decrease for 2019 may be able to be adjusted or increased in the future depending on fundraising efforts. Thank you for
understanding and please let us know if you have any questions.

Event funding will take place only in the months of March, June, August, and October for the 2019 year on the 3rd Tuesday of the month at 6:00 p.m. at the Barron County Government Center in the East Conference Room (dates and times subject to change, will notify by Facebook, email, and/or newsletter). Please plan accordingly.


Scholarships & Awards Forms

Volunteer of the Year Nomination Form (Adult Volunteer Award) (1 page, 87 KB) Deadline: October 1st

Certificates for Award Medallions

Excellence in Project Work Certificate – for the gold project medallions

Excellence in Youth Leadership Certificate – for the Youth Leadership medallions

Secretary Book Forms

  • Secretary Book Guidelines – What to include in the club secretary book and tips for completing.

Secretary Book Guidelines (1 page, 30 KB)

The following links are to the Wisconsin 4-H website where these forms are available in editable Adobe Acrobat pdf and Microsoft Word formats.

  • Club Record Book Cover – Yellow covers used to keep required forms and records for the 4-H club secretary, treasurer, reporter and organizational leader.  (2 pages)
  • Attendance Record – Form to record a member’s attendance at meetings. (2 pages in editable Adobe Acrobat pdf and Microsoft Word formats.)
  • Calendar of Club Activities – Form to record a club’s activities by month. (2 pages in editable Adobe Acrobat pdf and Microsoft Word formats.)
  • Adult Leadership Summary  – Form on which to record demographic information on adult volunteers involved in a 4-H club, including general, organizational, assistant, project and activity leaders. (1 page in editable Adobe Acrobat pdf and Microsoft Word formats.)
  • Membership Summary – Form for clubs to record information on youth members, including name, address, parents, grade, year in 4-H and current projects. (2 pages in editable Adobe Acrobat pdf and Microsoft Word formats.)
  • Junior Leaders Summary – Form on which to record information on junior leaders and club officers involved in a 4-H club. (1 page in editable Adobe Acrobat pdf and Microsoft Word formats.)
  • Minutes of Club Meetings – Form to record meeting of a 4-H club by the club secretary, who places the completed form in the club 4-H record book. A copy of the minutes is submitted to the County UW-Extension Office. (2 pages in editable Adobe Acrobat pdf and Microsoft Word formats.)
  • Club Financial Record. See below. The club treasurer maintains this form. Include the club financial record in the secretary book at the end of the 4-H year.

Treasurer Forms

Wisconsin 4-H Fiscal Year is July 1-June 30.

Barron County Forms

Wisconsin State 4-H form to record a club’s annual financial account as the fiscal year progresses. Could be used in place of the Barron County monthly treasurer report above.