Name of Member________________________________________________________________________
Year___________________________________________________________________________________
Parent or Guardian______________________________________________________________________
Mailing Address_________________________________________________________________________
County_________________________________________________________________________________
Name of Club___________________________________________________________________________
Grade in School_________________________________________________________________________
Name of School_________________________________________________________________________
Birth Date______________________________________________________________________________
Years in This Project_____________________________________________________________________
Years in 4-H_____________________________________________________________________________
1. I participated in the following entomology activities. (If the activity relates to club participation, record club" in the ' where" column. Otherwise, record the place where the activity occurred.)
| Date | Kind of Activity (Title) | Where |
| ______ | ______ | ______ |
| ______ | ______ | ______ |
| ______ | ______ | ______ |
| ______ | ______ | ______ |
| ______ | ______ | ______ |
2. I helped _____ other 4-H'ers with their entomology project. I helped them by:
____________________________________________________________________________________________
____________________________________________________________________________________________
3. I participated in the following community service activities through my 4-H club:
____________________________________________________________________________________________
____________________________________________________________________________________________
4. I read the following articles, pamphlets or books to prepare for my demonstrations or to help me to
learn more about entomology (list tables, authors and, if available, dates):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
5. 1 used the following equipment in completing my project this year (list each item, whether you bought
or made the item, how much it cost):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
6. I received the following awards and recognition (list activity, date of activity, where it took place and
award or recognition received):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
7. I completed the following Optional Activities for Unit II:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________