Online Experiences Registration

4-H Ontario 2024 Online Experiences Registration
Are you registering for Online Explore 4-H or Cloverbud At Home Experience?*
Participant Name*

First NameLast Name
Preferred First Name
Birthdate*

MonthDayYear
Birthdate*

MonthDayYear
Pronouns*
Please specify your preferred pronouns*
Participant's Email*
This will be the email that will be the primary email for the Google Classroom or submitting activities.
Is your email a Gmail or tied to a Google Account?*
Please NOTE! You need a Gmail or a Google account in order to access the Google Classroom.
Will you be joining the Google Classroom?*
Parent/Guardian Email*
4-H Association*
4-H Ontario Participant Number
Have you participated in the virtual Online Explore 4-H in the past?*
Have you participated in the virtual Cloverbud At Home Experience in the past?*

Please rank your agreement with the following statements:*

	Strongly Agree	Agree	Disagree	Strong Disagree
I am confident in my leadership abilities.
I know how to use my strengths to achieve my goals.
I have confidence in myself and abilities
I have amazing teamwork skills, everyone says so!
I am aware of careers in agriculture, agribusiness or other agricultural related sectors.
I intent to pursue or am pursuing a career in a field related to agriculture
My involvement in the 4-H program has helped me achieve job/career goals.

4-H Ontario 2024 Online Experiences Registration