Thank you for your interest in serving as a 4-H county fair judge in the general projects and/or livestock project areas. The information you provide on this form will be entered into our 4HOnline database of county fair judges and used by 4-H staff when they search for individuals to judge specific projects in their counties or regions. If you are (or have recently been) active as a 4-H judge in Minnesota, you are likely already included in the database, in which case you can update your information online instead of filling out this form. If you prefer that option, find more information on doing that, go to http://www.extension.umn.edu/youth/mn4-h/county-fair/judges/index.html. All judges: If you are new to judging, or not already in the database, please complete pages 1-5. Livestock judges please also complete page 6. I am 19 years of age or older and no longer eligible to be a 4-H member (i.e. more than one year past high school graduation date.) Contact Information First Name Last Name Email address Mailing address City State Zip Primary phone After completing this form, return it to Colleen Byrne by US mail, fax, or email attachment. US Mail: Karen Nelson University of Minnesota Extension Center for Youth Development 475 Coffey Hall 1420 Eckles Avenue St. Paul, MN 55108 Email: nelso367@umn.edu Subject line: 4-H Conference Judge information Fax: 612-624-6905 (Attention: Karen Nelson) Judge's information (ALL JUDGES) 1. How many miles are you willing to drive to judge a county fair? (If you're willing to travel any distance, please enter "no limit.") miles 2. What mileage reimbursement rate (cents per mile) would you accept? (Please enter a number between 0 and 50 cents per mile, or enter "current IRS rate.") cents/mile Page 1
3. The following is a list of non-livestock 4-H projects (livestock judging areas are in a later section of this form). Next to those projects you are willing to judge, please indicate your level of expertise and comfort in judging that project (1, 2 or 3). Leave blank any projects you are not interested in judging. 1 = I have no experience but am willing to learn 2 = I have some experience with this topic and would be comfortable judging it 3 = I have a great deal of experience with this subject and am comfortable judging it Level Project Level Project Level Project Aerospace Entomology Pets Bicycle Exotic Animals Photography Cat Exploring Animals Pigeon Cat, Dog & Pet Displays Exploring the Environment Plant & Soil Science Child & Family Development Fashion Revue Potatoes Citizenship Fishing Sports Quilting Clothing & Textiles Flower Gardening Robotics Cloverbuds Food & Nutrition Safety Clowning Food Review Scrapbooks Club Exhibits (Banner, etc) Forest Resources Self-Determined Communication Arts Fruit Share the Fun Community Pride Geology Shooting Sports/Wildlife Mgmt Computer Geospatial Shop (wood and/or metal) Consumer Education Global Connections Small Engines Crafts & Fine Arts Health Supreme Showmanship Crop Sciences Home Environment Tractor Demonstrations Horse (NON-certified*) Vegetable Gardening Digital Photography Horseless/Horse Related Vet Science Dog Agility Indoor Gardening Video Dog Obedience Lamb Lead Water/Wetlands Dog Rally Lawn & Landscape Design Wildlife/Biology Dog Related Livestock Interview Wool Fleece Dog Showmanship Music Youth Leadership Electric Needle Arts Engineering Design Performing Arts * Information for horse judges can be found at www.4-h.umn.edu/projects/animal-science/horse/judge-certification Page 2
This map of Minnesota counties may help you answer question 4 on the following page. Page 3
4. I am willing to judge in the following counties. (If you're willing to judge in any county in Minnesota, check "All counties" and don't bother to check off individual counties.) There is a map of Minnesota counties on the following page. All counties Isanti Polk Aitkin Itasca Pope Anoka Jackson Ramsey Becker Kanabec Red Lake Beltrami Kandiyohi Redwood Benton Kittson Renville Big Stone Koochiching Rice Blue Earth Lac qui Parle Rock Brown Lake Roseau Carlton Lake of the Woods Scott Carver Le Sueur Sherburne Cass Lincoln Sibley Chippewa Lyon St. Louis - North Chisago Mahnomen St. Louis - South Clay Marshall Stearns Clearwater Martin Steele Cook McLeod Stevens Cottonwood Meeker Swift Crow Wing Mille Lacs Todd Dakota Morrison Traverse Dodge Mower Wabasha Douglas Murray Wadena Faribault Nicollet Waseca Fillmore Nobles Washington Freeborn Norman Watonwan Goodhue Olmsted Wilkin Grant Otter Tail - East Winona Hennepin Otter Tail - West Wright Houston Pennington Yellow Medicine Hubbard Pine Incredible Exchange Pipestone Page 4
Training and experience 5. Have you ever attended a judges' training? If yes, please describe briefly. (What was the training? Where and when did it take place?) 6. Tell us about your judging experience. Include projects you've judged, locations of fairs, length of time you've been judging in different projects, etc. (Livestock judges complete this information below.) 7. If you are new to judging, please tell us about any non-judging experiences you've had that qualify you as a county fair judge. (e.g. 4-H experience, career, education, hobbies, etc.) Thank you. If you are interested in judging livestock, please complete the next section. Otherwise, this form is complete. Please see page 1 for mail/fax/email submission information. Page 5
LIVESTOCK JUDGING: Please complete the following section, if you are interested in judging livestock projects. 1L. The following is a list of livestock 4-H projects. Next to those projects you are willing to judge, please indicate your level of expertise and comfort in judging that project (1, 2 or 3). (Leave blank any projects you are not interested in judging.) 1 = I am a novice, but could judge a small show 2 = I am moderately experienced in this species and comfortable judging the project 3 = I have a great deal of experience with this species and am comfortable judging it Beef Dairy Dairy goats Meat goats Lama Poultry Rabbits Sheep Swine 2L. Check any of the following that apply. (A check mark indicates "yes.") I would be comfortable evaluating livestock interviews. I would be comfortable evaluating fleece shows. I would be comfortable evaluating lamb lead. 3L. Please give a short description of your livestock experience and judging background. Include Minnesota shows you've judged. Thank you. Please see page 1 for mail/fax/email submission information. Page 6