Professional Documents
Culture Documents
. Byacceptingapositionontheboardyouarecommittingtocompletingallrequiredboardactivities.We understandthatascommunityleadersyouhavemanyresponsibilities.Ifyouhaveotherresponsibilities thatconflictwithrequiredboardeventspleaseallowanother4Hmemberwhocanfulfillallofthe boardrequirementstofilltheposition.Asaboardmemberyouwillberequiredtoattendthesummer boardmeeting(July68,2011),completeaparishproject,participateintheservicelearningprojectand takeonatleast1otherboardduty.Throughouttheyearyouwillhaveopportunitiestoparticipatein additionalactivitiesandprovideleadershiptomembersthroughoutthestate. Important4HUniversitynote:Ifyouhavebeenaskedtoactasavotingdelegateforyourparish,please letyouragentknowyouwillnotbeabletofulfillthatpositionsotheycanselectanalternate.Youwill needtobepresentfortheboardmeeting.Ifyouareapplyingforanotherboardyouwillneedtonotify theadvisorforthatboardofyouracceptanceofapositiononthisboard. Anyformsdueduringtheyearshouldbefaxed,emailedormailedtothefollowingaddress: FaxNumber:2255787847 Email:Awmullens@agcenter.lsu.edu Mail:AshleyMullens,POBox25100,BatonRouge,LA70809 Pleasenotethatformsshouldbemailedatleast35daysPRIORtotheduedate. PacketContents SETBoardContractSignatureofthisformsignifiesacceptanceofposition.Thiscontractshould besignedandreturnednolaterthanJune15,2011. OfficerPositionsandApplicationsIfapplying,applicationmustbesubmittednolaterthanJune 15,2011.Emailpreferred.BeinganofficerisagreatwaytocontributetothesuccessoftheSET boardandtoensureameaningfulexperienceforyourself.SETboardofficerswillbeinvitedto participateintheSouthernRegionTeenLeadershipConference(Oct.1316,2011)andthe Governorsdinner(June5,2012).
20112012BoardAdvisors AshleyMullens,StateOffice awmullens@agcenter.lsu.edu 2255782196 AllpaperworkandquestionsregardingpaperworkshouldbesenttoAshleyMullens. KatinaHester,AscensionParish khester@agcenter.lsu.edu(preferred) 5306437837textcapable DavidBoldt,StateOffice dboldt@agcenter.lsu.edu 2255782196 RubyMiller,CameronParish rmmiller@agcenter.lsu.edu 3373919552textcapable JoannaStrong,RichlandParish jstrong@agcenter.lsu.edu(preferred) 3187283216 3182826273(textcapable) CynthiaPierfax,EastCarrollParish cpierfax@agcenter.lsu.edu 3185591459 AlexShook,BossierParish ashook@agcenter.lsu.edu 3189652326
SETBoardContract,HealthForm,CodeofConductandmembershipfeedue. Membershipfeemustbecheck/moneyordermadeouttoLouisiana4HFoundation. o Officerapplicationsdue. June16 o CopiesofofficerapplicationswillbepostedtotheSETBoardFacebookgroupforall boardmembersforreview. June21 o SETBoardBusinessmeeting.PresidentandVicePresidentwillbeelected.Members missingthemeetingareresponsibleforcommunicatingwithboardpresidenttogetany importantinformation.1:303pm,CastilianRoom(LSUUnion). July1 o SummerboardmeetingagendawillbepostedtoFacebookgroup. July68 o SETboardleadershipretreatandsummerboardmeeting(Woodworth,LA). TransportationpickupwillbeprovidedfromBatonRouge,LAandLafayette,LA. Membersmissingmeetingwillbedismissed.Therearenoexcusesallowed.Ifamember missesthemeetingduetoafamilyemergencytheywillstillbedismissedbutwillbe eligibletoapplythefollowingyear. o HealthformandcodeofconductforLOSTcampdueatmeeting. o WorldsFinestChocolatecheckdueforchocolatepickupatLOSTcamporOMKCamp. July31August5 o LOSTcamp.BoardmemberswillarriveatCampGrantWalkerSunday,July31by5p.m. CampersarriveAugust1. o OfficersRetreat.OfficersshouldarriveSundaymorningby10amforanofficers leadershipretreat. Aug.17 o HealthformandcodeofconductdueforOMKSETCamp. Aug.2628 o OMKSETcamp. o FinaldetailsforboardServiceLearningprojectwillbegivenoutandpostedto Facebook. DATETBA(Fall2011) o ServiceLearningProject October o National4HScienceExperiment.Makeplanswithparishtohelphostexperimentat parishand/orclubevent(s).Greatparishproject! Oct.21 o Ifattending4Htailgatesubmithealthform,codeofconductandtailgateattendance form. o Quarterlyreportdue.IncludeNational4HScienceDayactivities,JulyOctactivitiesyou didalongwithnumberofyouth,date,location,etc o Heathformandcodeofconductdueforroboticstournament. November12. o
4HFootballgame.Boardmembershavetheopportunitytowalkonthefieldatpre game. o SubmitsignedProgramPlanningSheetforparishprojectifyouhaventalready conductedtheevent. NovemberDateTBA. o CentralRegionFirstLegoLeagueTournament. Dec.15 o Healthform,codeofconductandattendanceformforWinterBoardMeetingdue. o WorldsFinestChocolatecheckdueforchocolatepickupatWinterBoardMeeting. 2012 o Jan.67 o WinterboardmeetingatCampGrantWalker.Boardmembersarriveby5pmFriday. Depart11amSunday.Transportationshouldbearrangedbyboardmembers(check withparishorothermembers). o Quarterlyreportdue,includeOctoberDecemberactivities. March1 o LOSTCampLessonplanfirstdraftduetoadvisorsandLOSTcampcoordinator April1 o ParishprojectarticleandphotoduetoKatinaHesteratkhester@agcenter.lsu.edu. o Quarterlyreportdue,includeJanMarchactivities. April15 o FinaldraftlessonplansandbudgetdueforLOSTcamp.Budgetandfinallessonplanwill bereviewedandrevisionrequestssentout.Committeereportsdue. May30 o FinalLOSTCampLessonplansandbudgetdue.Lessonactivitiesshouldbecompletely testedbythisdate. June15 o FinalQuarterlyReportDue,coveractivitiesfromAprilJune.
Description of Events
SummerBoardMeetingThismeetingistheintroductorymeetingfortheboard.Boardmemberswill participateinteambuildingactivities,leadershiptrainingandprepareforupcomingeventsincluding LOSTcamp,OMKSETcampandservicelearningproject. LOSTCampThisistheSETcampfor7th&8thgraders.TheSETboardplaysalargeroleinLOSTcampby sponsoringandleadingeducationaltracksandeveningassemblies.Theboardwillalsosetthetheme andplananyspecialactivities. OMKSETCampTheSETboardhoststheOMKSETcamp.Thiscampisformilitaryyouthages518. Duringthiscamptheboardwillalsohaveanopportunitytohostashortmeeting. 4HFootballGame/DaywithTigersBoardmemberswillwalkontoTigerfieldduringhalftimeandwill helpwithactivitiesandboothsatthetailgatepriortothegame.
WinterBoardMeetingBoardmemberswillmeetatCampGrantWalkerinJanuary.Memberswill planforLOSTcampbysettingthetheme,determiningtracksandorganizingtrackteams.Memberswill completelessonplanoutlinesatthemeeting.Membersmaychoosetodothesametracksaslastyear orcompletelydifferenttracks.MemberswillalsoworkonpresentationforJLCandanyotherbusinessas determinedbythePresidentandboard. ParishSETLeadershipProjectEachboardmemberwillneedtoplanand/orleadaparishSETrelated activity.Thiscouldbeasciencecamp,livestockprojectday,contest,SETClub,etcThiscanbea1day eventormonthlyclubaslongasatleast10youtharereachedandtheboardmemberisthelead person.BoardmembermustwriteanewsarticlewithphotoandsubmittoKatinaHester, khester@agcenter.lsu.edubyApril1.Additionalguidelinesapply.SeeParishProjectGuidelinessheet. SETBoardFacebookSiteTheSETBoardhasafacebooksitewillbeusedtocommunicate announcements,changes/additionsofdates,andotherboardbusinessinformation. FlickrPhotoGroupThe20082009boardestablishedaFlickrPhotoGroupthathostsamonthly themedcontest.Aboardmembercantakeresponsibilityforpickingathemeandmonitoringthisgroup. ServiceLearningProjectTheboardasawholewilldecideuponandconductaservicelearningproject. Thismightbeaneventtheboardmeetstogetherforormightincludetasksassignedformembersto completeonaparishlevel. CentralRegionFLLRoboticsTournamentBoardmembershostthecentralregionFirstLegoLeague roboticscompletion. EducationTripDuringthesummerof2013boardmembersfromthe20112012and20122013year whowereingoodstandingasofJune1oftheirtermyearwillbeinvitedtoparticipateinasummer educationalboardtrip.MemberswillgotoDisneyinOrlandoandparticipateintheDisneyYESprogram Estimatedcostsare~600800perperson.Boardmemberswillbegivenopportunitytodoboard approvedpersonalfundraisersthroughouttheyeartoraisemoneyforthetrip. WorldsFinestChocolate BoardmembersmayconductWorldsFinestChocolatefundraiserinordertoraisefundsforthe EducationalTrip.Boardmembersmustmakesuretheiragentisawareandapprovesandshouldrefrain fromsellingchocolateatparish4Heventsunlessgivenpermissionbythe4Hagent.Personal fundraisingshouldnotinterferewithfundraisingeventsbyyourparish.AllmoniesMUSTbeusedforSET boardeducationtrip.Note:Thereisaminimumorderthatmustbemetbythecompany.Youwillbe responsibleforpickingupyourchocolatefromthepickuppointorBatonRouge. Miscellaneous Eachboardmemberwillselectadutyfortheyearthattheywillbeexpectedtocompleteinordertobe amemberingoodstanding.Theselectionswillbemadeatsummerboardmeeting.
Positions Available
President ThePresidentwillserveastheleaderfortheboard.Presidentwillworkwithboardadvisorstosetmeetingagendas andleadallboardmeetings.Presidentwillberesponsibleforboardcommunications.Mustattendallofficialboard meetings.MUSThaveandcheckemailregularly.Mustbeenteringyourjuniororsenioryear.Presidentwillalsobe askedtogiveaspeechattheGovernorsdinnerandmaybeaskedtorepresenttheboardatotherpublicfunctions. VicePresident TheVicePresidentwillhelpthePresidentwithleadershipoftheboard.VicePresidentwillberesponsiblefor planningandcoordinatingtheboardservicelearningproject.MUSThaveandcheckemailregularly.VicePresident willbeexpectedtocompleteaservicelearningcourseandbecommittedtoprovidingaqualityserviceexperience fortheboard. Secretary Thesecretarywillbetakeminutesatallmeetingandsubmitminutestotheboardmember.Minutesmustbe submittedwithintwoweeksoftheevent.Mustattendallofficialboardmeetings. Reporter Reporterwillberesponsibleforwriting/coordinatinganewsstoryonallofficialboardeventsincludingLOSTcamp, OMKSETcamp,National4HScienceexperiment,4HTailgate,andtheservicelearningproject.Reportermayneed totakephotographsofeventsforstoriesalso. LOSTCampCoordinator Thisisa2yearpositionandcommitment.SeniorLOSTCampCoordinatorwillberesponsibleforleadingplanningfor eveningassemblies.JuniorLOSTCampCoordinatorwillberesponsibleforleadingtrackplanning.Mustattendall officialboardmeetings. RegionalRepresentative Numberofpositionsperregionwillbedeterminedbymembershipnumbers.Theregionalrepresentativewillbe responsibleforcommunicatingwithboardmembersintheirregion.Theregionalrepwillworkwiththe4HRegional Coordinatortoidentifyopportunitiesforboardmemberleadership.Regionalrepswillberesponsiblefor writing/collectinganarticleforeacheditionoftheboardnewsletter.
Answerthefollowingquestionsonaseparatesheetofpaper.Pleasetypeandemailifpossible. 1) OfficerPositionsHeld: 2) Pleasedescribeindetailanexamplewhereyouwereresponsibleforleadingagrouporteam.Talkabout methodsusedtocommunicateandmotivate. 3) Tellusyourvisionforleadershipoftheboard.Bespecificingoalsyouwouldliketoaccomplishandhowyou wouldimplementthegoals. 4) Characterisanimportantpartofbeingagoodleader.Writeabriefparagraphdiscussingthetraitsofgood characterandwhycharacterisimportantasaleader. 5) TelluswhyyouthinkyouwouldyouwouldmakeagoodPresident. 6) Whatdoyouthinkisthebestwaytocommunicatewithboardmembers? Ifpossible,pleasehaveyour4Hagentemailorfaxaletterorstatementofrecommendationforyouinthis position.
Answerthefollowingquestionsonaseparatesheetofpaper.Pleasetypeandemailifpossible. 1) Haveyouservedasareporterforanorganizationbefore?Ifyes,listposition,organizationandyear. 2) AreyoucurrentlyorhaveyoupreviouslyenrolledintheCommunicationorBroadcastandPrintJournalism projects?Describewhatyoulearnedorlistotherexperiences/projectsthathavecontributedtoyourskillsas areporter. 3) Submitanexamplestory.Inthespacebelowtellusaboutwhatmethodsyouusedtowriteyourstory including:anyinterviewsobtained,howyouobtainedyourstoryinformationandwhathappenedtothe storyafterwards. 4) TelluswhyyouthinkyouwouldmakeagoodreporterfortheSETBoard? Ifpossible,pleasehaveyour4Hagentemailorfaxaletterorstatementofrecommendationforyouinthis position.
Answerthefollowingquestionsonaseparatesheetofpaper.Pleasetypeandemailifpossible. 1) LeadershipPositionsheld(juniorleaders,clubpresident,eventchair): 2) Describeanevent,workshoporlessonyouwereresponsibleforplanning.Talkaboutwhatyoudidtoplan, organizeandcommunicate.Talkaboutanycreativeideasyoucameupwith.Pleasebeverydetailedwithall partsoftheplanningandimplementationoftheevent. 3) Giveanexamplewhereyouleadateamandhadtomeetdeadlines.Describemethodsusedtoplanand motivate. 4) TelluswhyyouthinkyouwouldmakeagoodLOSTCampCoordinator. Haveyoubeento4Hcamp?YesNo Haveyouservedasacampcounselor?YesNo AreyouCampCounselortrained?YesNo Canyoucommitto2yearsofattendingLOSTcampandservinginthisposition?YesNo Ifpossible,pleasehaveyour4Hagentemailorfaxaletterorstatementofrecommendationforyouinthisposition.
Regional Representative
Name:____________________________________ Grade:________ Yearsin4H:______ Parish:____________________________ Email:____________________________
ParishProjectInformation
BeinganactiveleaderonalocallevelisanimportantpartofbeingaStateSETboardmember.Allboard membersmustcompletetheProgramProposal(Seeprogramproposalsheetguidelines)fortheirparish projectbyNovember12th.EachmemberisREQUIREDtocompleteaparishprojectandturninanarticle withphotonolaterthanApril1,2012.Aparishprojectiseventsoractivitiesinwhichyoutakea leadershiprole.Aparishprojectshouldmeetatleast10youthandbeatleast12hoursinlengthtotal. Thiscouldbethrough1singleeventormultiple.Ideascouldinclude(butnotlimitedto): SETorSETrelatedprojectclub Conductingaworkshoporminicamp RunningSETrelatedcontest ConductingtheNationalScienceExperimentinyourparishwithdifferentgroups Helping4Hmemberswiththeirprojects(SETrelated)
ItisstronglyencouragedthatyouNOTplanyourparishprojectforthemonthofMarchasthisisan extremelybusytimeofyearinmostparishes.Begintalkingtoyouragentasearlyaspossibleinthefall aboutyourparishprojectandideas. WriteUpRequirements Yourwriteupmustbeatleast2paragraphsinlength(nolessthan12sentences)andshouldcoverthe followingdetails: Boardmemberswhodonotcompletethisrequirementwillbeineligibletoapplyfora2ndterm.Ifthe boardmemberhasalreadymissedanotherrequiredactivity(summerboardmeeting,servicelearning project,boardmemberduty)thentheywillbedismissed. Dateofevent Locationofevent Titleofevent Numberofkidsinattendance Detailsoftheactivity(whatyoudid,whatthekidslearned,howitrelatestoSETand4H) Aquotefromaparticipantabouthowtheeventaffectedthem Aphoto Aquotefromyouaboutyourexperience
EventDescription: o Includeabriefdescriptionofprogram/activitythatyourteamwantstoputintoaction.
**Please note that you will need a social security number for admittance to Rapides General Hospital in Alexandria.** Event or Activity _______________________________________ Name of Participant_____________________________________________Date of Birth_____________ First Middle Last Address______________________________________________________________________________ Street or PO Box City _______________________________State _____Zip Code____________Parish_______________ Parent/Guardian (for youth) Name: ________________________________________________________ Phone: Home_______________________Work_____________________Cell_____________________ Family Physician_______________________ Phone: Office_____________ Alternate_____________ Health Insurance Company Name & Address:________________________________________________ ________________________________________________ Group No._______________ Policy No._______________ Name of Insured:_______________________ Emergency Contacts: 1) Name:_________________________________________________________________________ Phone: Home____________________ Work _____________________Cell____________________ 2) Name:_________________________________________________________________________ Phone: Home____________________ Work _____________________Cell____________________ Health History: List all known drug allergies/allergies:_____________________________________________ Is there past or present history of the following? Check all that apply. Yes No Yes No Appendicitis ___ ___ Joint/back or limb pain ___ ___ Allergies/sinus problems ___ ___ Arthritis or other conditions ___ ___ Asthma/persistent cough ___ ___ Kidney or liver disease ___ ___ Bedwetting ___ ___ Menstrual problems ___ ___ Bleeding disorder ___ ___ Nervous condition/depression ___ ___ Convulsions/fainting ___ ___ Nose problems ___ ___ Diabetes/hypoglycemia ___ ___ Physical Disability ___ ___ Epilepsy/convulsion/fainting ___ ___ Poison ivy/oak/sumac rash ___ ___ Eye/ear problems ___ ___ Recent surgery/injury ___ ___ Frequent ear infections ___ ___ Serious illness ___ ___ Gall bladder problems ___ ___ Serious injury ___ ___ Heart defect/disease ___ ___ Skin/gland problems ___ ___ Hernia ___ ___ Sleepwalking ___ ___ Hypertension ___ ___ Stomach/bowel problems ___ ___ Hyperactivity/ADD/ADHD ___ ___ Tuberculosis ___ ___ Infectious disease ___ ___ Ulcers (stomach/intestines) ___ ___ Insect stings* ___ ___ Urinary problems ___ ___ *Localized redness/swelling do not constitute insect allergy. Body-wide rash, swelling, and difficulty breathing do constitute insect allergy (anaphylaxis).
Health Form Revised 04/12/2011
Explain any Yes items and list any other problems, including the diagnosis, date of injury or illness, hospital, length of hospitalization, name of doctor, etc. List any exposure to infectious disease in the two weeks prior to event._____________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ (Attach a page if extra space is needed for explanation) Immunizations (latest date): Tetanus________________ Hepatitis________________
Special or Prescription Medications: Please list any special medication being taken including the name and phone number of the prescribing physician, dosage, consumption rate and interval. Name of Medication Dosage Frequency Prescribing Physician & Number _____________________________ ______ ________ _____________________________________ _____________________________ ______ ________ _____________________________________ _____________________________ ______ ________ _____________________________________ _____________________________ ______ ________ _____________________________________ Special Restrictions: Chronic or recurring illness and treatment which may be needed __________________________ ______________________________________________________________________________ ______________________________________________________________________________ Dietary modifications require physicians written instructions be given to 4-H staff two (2) weeks prior to the event. Statement of Health: To my knowledge, I have no health problems, unless stated earlier, and can SAFELY PARTICIPATE in this event. I would rate my health as: (please circle one) POOR FAIR GOOD EXCELLENT. I have no contagious or communicable disease and have had no illness within 30 days that would preclude me from participating in this event. If I do have any health problems or illnesses, they are explained in the space provided on page one.
Insurance Information: LSU AgCenter insures all participants while they attend 4-H sponsored events. This insurance is limited to $3,000 and does not cover crutches. Remaining medical bills are the responsibility of the participant and his/her parent or guardian.
It is the policy of the Louisiana Cooperative Extension Service that no person shall be subjected to discrimination on the grounds of race, color, national origin, gender, religion, age, or disability.
Health Form
Revised 04/12/2011
Note: Your child may be photographed or videotaped for promotional or educational purposes. I understand my child may participate in and/or complete surveys and evaluations that will be used to determine 4-H program effectiveness or to promote the program. Youth will be asked their consent before completing a survey or evaluation. Participation in surveys and evaluations is voluntary and does not affect eligibility to participate in the 4-H program. I DO NOT agree to these terms. By my signature I am verifying that all the above information on the Louisiana 4-H Overnight Event Permission/Health Form is true and accurate. _________________________________________ Parent/Guardian
Parent Permissions Form
_________________________________________ Date
Revised 03/29/11
____________ Date
LouisianaState4HSETBoardContract
I,_________________________________,herebyagreetofulfillthedutiesoftheLouisiana4 HSETBoardasoutlinedbelow.IntheeventIamunabletomeettheseobligationsIunderstandthe State4HOfficeFacultyhastheoptionofremovingmefromtheboardfortheremainingportionof myterm. 1. IagreetopromoteLouisiana4HSETrelatedprojectsandtoassistwiththeplanningand promotionofstateeducationalprograms. 2. Iagreetorespondtoemails,lettersandphonecallsinatimelymannerinordertomaintain communicationwiththeboardandadvisors.Iunderstandthatcommunicationismyresponsibility andifatanytimeIloseaccesstoemailIwillnotifyappropriateboardpersons. 3. Iagreetoattendthesummerboardmeeting,participateintheservicelearningproject,completea parishprojectandcompletemyassigneddutiesasaSETboardmember. 4. Iagreetobecomecampcounselorcertified. 5. Iagreetocontinuetoserveasaleaderinmyparishandparticipateinparishactivities.Iagreeto planandconductaSETrelatedparishprojectandreportontheprojectbyApril1,2012. 6. IagreetoactasaliaisonbetweenthestateSETboardandtheregion/parishthatIrepresent. 7. IagreetoparticipateinSETboardactivities,National4HScienceDay,andboardcommitteesto thebestofmyability. 8. IagreetocompletetheProgramProposalandobtaintherequiredpermissionsbeforeplanningany eventasaSETboardmemberonbehalfof4H.Iunderstandthisincludeslocal,parish,regionaland stateevents. 9. Iagreetobeacurrentenrolledmemberin4Hatalltimesandanactivememberofalocalschool, projectorcommunityclub.IunderstandthattobeacurrentenrolledmemberImustcompleteand submitanenrollmentcardandpayenrollmentdues. 10. IfIvolunteertotakepictures/videoata4HeventIagreetocoordinatetheuseofthesepictures whetherifviawebsite,PowerPoint,CD,orothermeanswiththestaffofthatparticularevent. 11. Iagreetoberesponsible,selfstarting,dependable,anddedicatedtotheroleofworkingasateam member. 12. Iagreetohavetransportation/fundsformeetingsandcorrespondence. 13. IagreetoobeytherulesandproceduresofanyUniversitysystemthatIaccessinthecourseofmy duties. 14. Iagreetobeboundbyallofficialbylawsvotedonbytheboard. 15. Iagreetofollowallrulesoutlinedbythefederalstatueontheuseofthe4Hemblemandname, includingseekingpermissionbeforeusingtheLSUAgCentername/logoor4Hemblemonany writtenorelectroniccorrespondenceorwebsite. 16. Ihavefullyreadalltheinformationcontainedinthememberpacketandamawareofalldeadlines andexpectations.IunderstandIwillberesponsibleforkeepingupwithdeadlines. AsamemberandrepresentativeoftheLouisiana4HSETBoardandLouisiana4HYouthDevelopment program,Iwillalwaysseektoadvanceandpromote4Hwithhighethicalandmoralstandardsinall thatIdo.FurtherIwillstrivetolivebythesixpillarsofcharacter:trustworthiness,respect, responsibility,fairness,caringandcitizenship.Iagreetofollowalloftheaboveguidelinesandwillbe anactivememberoftheLouisianaState4HSETBoardforthedurationofmyterm. MemberSignature:____________________________________Date:____/_____/_____ Parent/GuardianSignature:__________________________________________________ PleasesubmitacopyofthisformtotheState4HOfficebyfaxormailbyJune15,2011.