Corporate Clover Biography Form — Illinois 4-H Foundation

Corporate Clover Biography Form

Biographical Information

Page #
Name
Relationship	relationship to family member on page #
Company
Current Employment & Title
Education	degrees earned, schools attended
Birthdate	mm/dd/yyyy
Email
Address
City
State	Two-letter code, like IL
Zip Code	Five-digit code, like 61820
Phone	999-999-9999

4-H Membership

4-H Member	Yes No

Total Years
Years Served	1975-1986
Club
County
State	Two-letter code, like IL
National 4-H (Club) Congress	year
State Judging Team	team
National 4-H Leadership Conference	year
Attended 4-H Camp	camp name
National 4-H Dairy Conference	year
IFYE Exchange	country
Showed at State Fair	projects

4-H Leader

4-H Leader	Yes No

Total Years
Years Served	1975-1986
Club(s)
County
State	Two-letter code, like IL

4-H Volunteer

4-H Volunteer	Yes No

Total Years
Years Served	1975-1986
Activities

4-H Parent

4-H Parent	Yes No

Total Years
Years Served	1975-1986
Children	number of children that have been 4-Hers

Other

Other special 4-H highlights or experiences

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