Wisconsin 4-H and Youth Conference: State Teams

Wisconsin 4-H Photo Team Application Form

First Name: Last Name:

Position applying for: (check one)
4-H Photo Team Youth Member
4-H Photo Team Adult Chaperone

Your County:

Your Address:

City: State: (XX) Zip Code: (XXXXX-XXXX)

Phone: (XXX-XXX-XXXX) E-mail:

Your Birthdate: (MM/DD/YYYY)

Your Current School Grade:

Gender: Male Female

Number of Years in 4-H:

Number of Years in 4-H Photo Project:

Number of Years Attended Wisconsin 4-H and Youth Conference:

Skills and Experience: (check all that apply)
Digital photography
Digital sound recording
Newsphotography
Paintshop or other image editing program
Photoshop or other photo imaging program
PowerPoint presentations
Use of LCD projector

Please answer the following:

1. Explain why you want to be a part of the 2009 4-H Photo Team:

2. Describe your photography background and experience:

3.On a scale of 1(low) to 10(high), rate your ability to take interesting, candid photos of people in action, and briefly explain your rating:

Photo Team applicants must submit 5 interesting, candid photos of people in action that you have taken. You can e-mail as attachments to tom.carpenter@ces.uwex.edu or you can send xerox copies to Tom Carpenter, State 4-H Office, 431 Lowell Center, 610 Langdon Street, Madison, WI 53703, by January 15, 2009.

Application Due Date

Please ask your county 4-H and Youth Development agent for a written recommendation. Application and recommendation are due by Jan. 15, 2009.