Request edit access
4-H Alumni Impact Survey
Please complete this form with honesty. 

If you have any questions, please reach out to the 4-H Agent of the county you reside in.
Sign in to Google to save your progress. Learn more
I participated in 4-H in ___________________________ *

My most valuable experience/skill gained from participating in 4-H: 

 *

My favorite activity as a 4-H member:

 *

If you have or plan to have children, why do you want them to participate in 4-H (or why not)? 

 *

Are you interested in volunteering with 4-H? Why or why not?

 *
Is there anything else you would like to share with us regarding how 4-H impacted your life?
We would love to know who you are!  If you wish please give us your name and contact information for future information or to be added to our newsletter. 
Name
Optional
Email and/or phone number
Optional
I wish to be added to the 4-H newsletter list
Clear selection
I would consider volunteering for 4-H.
Judge 4-H Presentations, Project Books, teach a lesson for a small group, help with office tasks, use your professional skills to help 4-H such as create marketing pieces or audit 4-H funds, or even start a 4-H club, etc.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University. Report Abuse
Google Forms