Nomination for 4-H Family of the Year
Due to MD 4-H Center May 1, 2000 - One entry per county/city
8020 Greenmead Drive, College Park, MD 20740-4000

Family Name:                                                                                                      County: _________________________
               (Name to be used in publicity)

Address: ______________________________________________________________________________________

______________________________________________________________  Zip: ___________________________

Day time telephone: (      )__________________________________________

 Family Members:
 
Name
Age
Relationship
Occupation
. . . .
. . . .
. . . .
. . . .
. . . .

 4-H Family Story: Tell the 4-H family story by using the following outline.  Involvement includes individual family member's roles, experiences and accomplishments, continuing interest community service and leadership.

A.)    Family history
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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