Name:
Maiden Name
(if applicable)
Address:
 
City/St/Zip:    
Phone  
E-mail:  
How were you involved in 4-H (4-Her, Volunteer, Leader, etc.)
When were you involved?
Where were you involved?
Did you attend National 4-H Congress or National 4-H Conference?
Did you do any international traveling with 4-H?
Were/Are your children involved in 4-H
Have you ever visited the Arkansas 4-H Center
Any stories or thoughts about 4-H and how it affected your life?