NB 4-H INTERMEDIATE MEMBERS APPLICATION FORM






			2007 4-H Provincial Programs Listing

		2007 4-H INTERMEDIATE MEMBERS APPLICATION FORM Listed below are the 2007 Provincial 4-H Programs available to all New Brunswick Intermediate 4-H members. If you are interested in any of these, please complete the attached application form and return it to: NB 4-H Council Ltd.; 267 Connell Street, Unit 5; Woodstock, NB; E7M 1L2. Phone: 324-6244 Fax: 325-9266, e-mail nb4h@nbnet.nb.ca . Please note that only members in good standing are allowed to participate in provincial 4-H activities, meaning that club dues must be paid to the NB 4-H Council. Also note that the member must bring their Medicare card to each event. You will receive more information, registration forms, etc. at a later date. Tick the events you are interested in. N.B. 4-H INTERMEDIATE MEMBERS CONFERENCE WHO: 4-H members, aged 12 through 14 as of January 1, 2007. WHAT: A fun-filled weekend filled with games, social recreation and focusing on issues concerning today's young teens. WHEN: March 2-4, 2007 WHERE: Sussex, N.B. COST: *$50.00* registration fee. Transportation to and from the conference is the responsibility of the member. A delegate list will be mailed out to all applicants to facilitate car-pooling. NB 4-H ANNUAL CANOE TRIP WHO: 4-H members 13 years of age and up, leaders and parents. All are welcome! WHAT: A well-supervised weekend canoe trip and camping expedition, which will include swimming, skits, bonfires and fun! WHEN: May 19-21, 2007 WHERE: Kennebecasis River, N.B. COST: *$20.00* per person registration fee. Transportation to and from the trip is the responsibility of the member, leader or parent. N.B. 4-H CLOVERBUD AND JUNIOR 4-H MEMBERS CONFERENCE & CAMP COUNSELLORS WHO: Mature intermediate 4-H members to help with members aged 7 through 11. WHAT: A 3-day camp where members participate in sessions ranging from promoting 4-H and crafts to outdoor survival. Campfires, ghost stories and swimming also make up an important part of 4-H camp life. All activities/sessions will be carried out in English. WHEN: June 15-17, 2007 WHERE: Caton's Island, Brown's Flat, N.B. COST: *$15.00* registration fee. Transportation to and from the camp is the responsibility of the member. NB 4-H WILDERNESS SURVIVAL CANOE TRIP WHO: 4-H members 13 years of age and up, leaders and parents. All are welcome! WHAT: A well-supervised weekend canoe trip and camping expedition, which will include the opportunity to travel along the river with all your supplies, tents, etc. and try different survival activities. WHEN: June 22-24, 2007 WHERE: Portage River, N.B. COST: *$20.00* per person registration fee. Transportation to and from the trip is the responsibility of the member, leader or parent. E.B.I 4-H SHOWCASE WHO: 15 4-H dairy project members and 10 beef project members 14 years of age and over. Members from the other Atlantic Provinces will attend. *All beef and dairy members are eligible to apply unless you were a past overall winner at the Showcase or have attended the Showcase three times.* WHAT: If you want to improve your showing skills andknowledge of cattle, let Eastern Breeders Inc. teach you everything you need to know. You bring your own project animal (unclipped) to the Showcase. All activities will be carried out in English. WHEN: June 27-29, 2007 WHERE: NSAC and Provincial Exhibition Grounds, Truro, Nova Scotia COST: *$100.00* registration fee. Transportation to and from the event is the responsibility of the 4-H member. Transportation for the animal is the responsibility of the member. N.B. 4-H WILDERNESS RETREAT WHO: 4-H members 13 years old and over. WHAT: A camping weekend where participants will have the opportunity to develop skills and knowledge in such areas as wilderness survival, map and compass skills, and knowledge of plant and animal habitat. WHEN: October 19-21, 2007 WHERE: Southampton, N.B. COST: *$40.00* registration fee. Transportation to and from the camp is the responsibility of the member. Deadline to apply is January 31, 2007 2007 4-H INTERMEDIATE MEMBERS APPLICATION FORM NB 4-H Council Ltd. 267 Connell Street, Unit 5 Woodstock, NB E7M lL2 Deadline: Reply by January 31, 2007 DELEGATE PROFILE: NAME: _______________________ CLUB: _________________ ADDDRESS: __________________________________________ POSTAL CODE: _____-_____ PHONE #: (____) _____-_______ DATE OF BIRTH (MONTH/DAY/YEAR): _____/_____/19____ SCHOOL PRESENTLY ATTENDING: ____________________ LAST GRADE COMPLETED: ______ PARENTS'/GUARDIANS' NAMES: ______________________ HOW MANY YEARS HAVE YOU BEEN A 4-H MEMBER: _______ YEARS WHICH PROGRAM ARE YOU APPLYING FOR? N.B. 4-H Intermediate Members Conference _______ NB 4-H Canoe Trip _______ Do you have a canoe? _______ N.B. 4-H Cloverbud and Junior Members Conference and Camp Counselor ________ N.B. 4-H Wilderness Survival Canoe Trip ________ Do you have a canoe? ________ E.B.I. 4-H Showcase _______ N.B. 4-H Wilderness Retreat ______ Please use separate sheets of paper to answer the following questions. Your answer may be as long or short as necessary to thoroughly answer the questions. 1. List the 4-H projects you have achieved in and the year. 2. What project did you enjoy the most? Why? 3. List the Club and/or District 4-H offices you have held and the year. 4. List any 4-H workshops, conferences, camps, etc. in which you have participated in and the year. 5. Which of the activities you listed were of the most value to you? 6. Describe the leadership roles you have had within your 4-H Club or at the District level. 7. List the activities you are involved in outside of 4-H. 8. What is the most important thing you have learned through your involvement in 4-H? 9. Is there anything you would like to see changed about 4-H in New Brunswick? 10. What are your hobbies, special interests and skills? How do you participate in these? 11. Why is your first choice of programs important to you? What would you hope to achieve if selected?