WI_LeaderBehavior?21|~~~~~~~~~~~~~~~~~Leader Behavior Agreement~~~~~~~ WI_LeaderBehavior?21|CheckBox601~4~I am agreeing to and accepting the statement above.~8~1~65~939~325~~~~CheckBox Location: [X = 79] [Y = 950] Required: Yes~55~SF 10~-1~-1~~~~1~~1~~~ WI_LeaderBehavior?21|Edit101~2~~12~1~137~97~200~~~~Edit Location: [X = 137] [Y = 97] DB Link: County~0~County~0~0~~~~0~~1~~~ WI_LeaderBehavior?21|Edit102~2~~12~1~490~97~200~~~~Edit Location: [X = 490] [Y = 97] DB Link: Primary Club~30~Primary Club~31~31~~~~0~~1~~~ WI_LeaderBehavior?21|Edit103~2~~12~0~137~130~220~~~~Edit Location: [X = 137] [Y = 130] DB Link: Last~1~Last~1~1~~~~0~~1~~~ WI_LeaderBehavior?21|Edit104~2~~12~0~490~130~220~~~~Edit Location: [X = 490] [Y = 130] DB Link: First~2~First~2~2~~~~0~~1~~~ WI_LeaderBehavior?21|Edit105~2~~12~0~137~158~250~~~~Edit Location: [X = 137] [Y = 158] DB Link: Street~4~Street~4~4~~~~0~~1~~~ WI_LeaderBehavior?21|Edit106~2~~12~0~490~158~200~~~~Edit Location: [X = 490] [Y = 158] DB Link: Phone~8~Phone~8~8~~~~0~~1~~~ WI_LeaderBehavior?21|Edit107~2~~12~0~137~186~200~~~~Edit Location: [X = 137] [Y = 186] DB Link: City~5~City~5~5~~~~0~~1~~~ WI_LeaderBehavior?21|Edit108~2~~12~0~437~186~50~~~~Edit Location: [X = 437] [Y = 186] DB Link: State~6~State~6~6~~~~0~~1~~~ WI_LeaderBehavior?21|Edit109~2~~12~0~518~186~140~~~~Edit Location: [X = 518] [Y = 186] DB Link: Zip~7~Zip~7~7~~~~0~~1~~~ WI_LeaderBehavior?21|Edit110~2~~12~0~137~216~300~~~~Edit Location: [X = 137] [Y = 216] DB Link: Email Address~18~Email Address~19~19~~~~0~~1~~~ WI_LeaderBehavior?21|Edit112~2~~12~0~46~271~20~~~~Edit Location: [X = 46] [Y = 271] DB Link: SF 1~46~SF 1~-1~-1~~~~0~~1~~~ WI_LeaderBehavior?21|Edit113~2~~12~0~46~329~20~~~~Edit Location: [X = 46] [Y = 329] DB Link: SF 2~47~SF 2~-1~-1~~~~0~~1~~~ WI_LeaderBehavior?21|Edit114~2~~12~0~46~398~20~~~~Edit Location: [X = 46] [Y = 398] DB Link: SF 3~48~SF 3~-1~-1~~~~0~~1~~~ WI_LeaderBehavior?21|Label101~1~County~12~0~74~100~0~~~~Label Location: [X = 74] [Y = 100]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label102~1~Primary Club~12~0~386~100~0~~~~Label Location: [X = 386] [Y = 100]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label103~1~Last Name~12~0~47~132~0~~~~Label Location: [X = 47] [Y = 132]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label104~1~First Name~12~0~399~136~0~~~~Label Location: [X = 399] [Y = 136]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label105~1~Address~12~0~62~165~0~~~~Label Location: [X = 62] [Y = 165]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label106~1~Phone~12~0~430~165~0~~~~Label Location: [X = 430] [Y = 165]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label107~1~City~12~0~93~194~0~~~~Label Location: [X = 93] [Y = 194]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label108~1~State~12~0~389~194~0~~~~Label Location: [X = 389] [Y = 194]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label109~1~Zip~12~0~490~194~0~~~~Label Location: [X = 490] [Y = 194]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label110~1~E-mail~12~0~79~223~0~~~~Label Location: [X = 79] [Y = 223]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Label111~1~Print, sign, and return this page to your club or county leader.~12~5~147~43~0~~~~Label111 Location: [X = 216] [Y = 38]~~~~~~~~~~1~~~ WI_LeaderBehavior?21|Memo101~3~~11~0~36~440~730~490~Volunteer Behavior Expectations for Wisconsin 4-H Youth Development: [@&@]Families and youth serving organizations trust the University of Wisconsin-Extension to provide quality leadership and care [@&@]for youth who are involved in Extension sponsored programs. The opportunity to work with youth is a privileged position and [@&@]should be held only by those who are willing to demonstrate behaviors that fulfill this trust. All 4-H Youth Development [@&@]volunteers working with youth are required to complete the Wisconsin 4-H Youth Protection program. This includes: a) a [@&@]background check for arrest and conviction records, b) participation in a volunteer orientation program and c) signing the [@&@]Volunteer Behavior Expectations form. The primary purpose of this process is to ensure the safety and well-being of all [@&@]participants (i.e. youth, their parents and families, salaried and volunteer staff). 4-H Youth Development volunteers are [@&@]expected to abide by the following behavior standards established by [@&@]UW-Extension/4-H, and to conduct themselves as positive role models for youth. All 4-H Youth Development volunteers are [@&@]ultimately accountable to UW-Extension for their 4-H related activities. As a 4-H Youth Development volunteer I will:[@&@]> Conduct myself with courteous manners and language, exhibiting good sportsmanship, serving as a positive role model, [@&@]treating others with respect, and demonstrating reasonable conflict resolution skills.[@&@]> Abide by all local, state, and federal laws and UW-Extension and U.S.D.A. rules, policies and guidelines.[@&@]> Accept supervision and support from Extension staff or designated management volunteers.[@&@]> Make all reasonable efforts to ensure that programs are accessible to all individuals regardless of race, color, sex, creed, [@&@]disability, religion, national origin, ancestry, age, sexual orientation, pregnancy, marital or parental status.[@&@]> Treat animals in a humane manner and teach program participants to provide appropriate animal care and management.[@&@]> Not consume alcohol or illegal substances while responsible for youth in 4-H activities, nor allow 4-H youth participants [@&@]under my supervision to do so.[@&@]> When transporting youth, operate motor vehicles and other equipment in a safe and reliable manner and only with a valid [@&@]operator's license and legally required insurance. I will comply with all motor vehicle-related state regulations and laws. All [@&@]transported youth will be secured by a properly operating seat belt.[@&@]> Conduct myself in a manner that is in the best interest of youth and UW-Extension/4-H Youth Development and will not use [@&@]the volunteer position for purposes of private or personal gain.[@&@]> Recognize that verbal, sexual, physical abuse and/or neglect of youth is unacceptable. Report suspected abuse.[@&@][@&@]I have read, understand and agree to abide by these expectations for volunteers. I understand that suspension or [@&@]termination of my position as a volunteer will result if I do not meet these expectations.[@&@]~~Text Location: [X = 36] [Y = 440]~~~~~~~0~~~1~~~ WI_LeaderBehavior?21|Memo103~3~~12~0~86~400~650~24~I require an accommodation for a disability to participate in this program.[@&@]~~Text Location: [X = 86] [Y = 400]~~~~~~~0~~~1~~~ WI_LeaderBehavior?21|Memo104~3~~12~0~86~323~700~75~I grant the University of Wisconsin Board of Regents and University of Wisconsin-Extension [@&@](hereinafter University) the right to publish, and copyright my image (including audio, moving image [@&@]or photography) for educational programs, websites, and promotion of University rograms.[@&@]~~Text Location: [X = 86] [Y = 323]~~~~~~~0~~~1~~~ WI_LeaderBehavior?21|Memo105~3~~12~0~86~271~650~50~I want the University of Wisconsin-Extension to keep my name and contact information [@&@]private when creating a public record or list.[@&@]~~Text Location: [X = 86] [Y = 271]~~~~~~~0~~~1~~~ WI_LeaderBehavior?21|Memo106~3~~15~0~40~970~750~50~Leader Signature ____________________________________ Date ________[@&@]~~Text Location: [X = 40] [Y = 970]~~~~~~~0~~~1~~~