All Nebraska 4-H Horsemanship Level Examiners Must Complete a Nebraska 4-H Youth Development Volunteer Profile Personal Information Form (4HF104)
Application for Nebraska
4-H Horse Project
Advancement
Level Examiner
Date:__________ Home Phone:________________ Work Phone:_______________
Name:___________________________________ County ___________________
Address:__________________________________________________________
Are you over 21 years of age? ___Yes ___No
Occupation:________________________________________________________
Applying for:
Level III Examiner ___Yes ___No
Level IV Examiner ___Yes ___No
List your qualifications relevant to type of examiner
applying for:
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Why do you want to be a Level's Examiner?
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List your 4-H experience as a youth and/or adult.
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List three people who have knowledge of your skills and/or character.
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Name
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Address
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Phone
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List other items you feel would be beneficial
to being an examiner. (Optional)
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Submit application to:
Kathy Anderson
C204 Animal Science Building
University of Nebraska
Lincoln, NE 68583-0908