Applications and Forms

Please read award and scholarship application forms thoroughly before completing forms. Contact the Bates County Extension Office if you have questions, 660-679-4167.


State 4-H Foundation Scholarship (PDF) | DOC County deadline is February 15

Three scholarships are currently being offered at the county level:

All three scholarships now use the same form and format. You may upload this application to to make the forms fillable.  The scholarship(s) deadline is February 1.
You may receive either the Jeffrey Laughlin Memorial Scholarship OR the Bates County 4-H Scholarship, but not both.  You may apply for both.  You will still be eligible to win the Pat Evans Memorial Scholarship if you win the Jeffrey Laughlin or Bates County 4-H Scholarship.  

Member awards

4-H Member of the Year (PDF) | DOC
Junior Member Award (Jacket Award) (PDF) | DOC
Key Award (PDF) | DOC
Project Medal Award (PDF) 
Club Secretary/Treasurer Book Award (PDF)
Danforth "I Dare You" Award (PDF) | DOC
Point Summary Form (PDF) | DOC

Leader/club awards

Chamber of Commerce Sweepstakes Award (PDF) | DOC
Club Leader Award (PDF) | DOC
Project Leader Award (PDF) | DOC
4-H Community Service State Award form is now done online. Please CLICK HERE to fill out the LG670 Qulatrics Online Survey and submit it directly to the State 4-H Office. Forms must be submitted no later than September 30.  
Should you need a paper form for the State Community Service Recognition Award, please contact the Bates County Extension Office and PAPER forms must be submitted by September 15 to allow time for entering.  Clubs will receive a certificate and recognition from the State 4-H Office.


Friend of 4-H Award (PDF) | DOC
4-H Hall of Fame (PDF) | DOC  (Application deadline is March 15)
4-H Annual Financial Report (Y672E) (PDF)  (Must be submitted to local Extension Office by Sept.15)

Membership, Project Record and Completion Forms

How to Enroll or Re-Enroll (PDF)
Missouri 4-H Volunteer Background Screening Instructions...NEW 2018/2019 (PDF)
Missouri 4-H Volunteer Background Screening Consent Form...NEW 2018/2019 (PDF)
Club Dues Transmittal Form (PDF) | DOC
Project Record Form (PDF)
Shooting Sports Record Form (PDF)
Project Leader Completion Form (PDF)
Shooting Sports Project Leader Completion Form (PDF)

Horse Enrollment forms

Y1440, Missouri 4-H Project Horse Enrollment Form (PDF)
Equine Health Care Record form (PDF)

County event forms

Bates County 4-H Demonstration Day (PDF) 
Bates County Fashion Revue
      Clothes You Make entry form (PDF) 
      Clothes You Buy entry form (PDF) 
      Clothes You Knit/Crochet entry form (PDF) 
Score sheets for Clothes You Buy, Clothes You Make and Clothes You Knit/Crochet 

4-H camp

4-H camp is a time honored and fun tradition. Please check your April or May edition of News 'n Notes for camp information.

Leadership Plans

Junior/Teen Leader Plan (PDF) | DOC
Junior/Teen Leader requirements (PDF)

Trip Applications

State Teen Conference
Teen Conference point summary form (PDF) | DOC
       (Point summary form is not required to register for Teen Conference if you are willing to pay the full fee.)
State 4-H Congress
Point Summary Form (PDF) | DOC 
       (Point summary form is not required to register for State Congress if you are willing to pay the full fee.)

***Point summary form is NOT required to register for Teen Conference or State Congress if you are willing to pay the entire registration fee.***

State Shooting Sports registration

Registration for Shooting Sports events is done on-line.  (Please make your check payable to Bates County 4-H and submit to the Bates County Extension Office within seven days of registration.)

State 4-H Council

Applying for regional representative (PDF)
Missouri State 4-H Council regional representative application 

Missouri 4-H Recognition Forms

State 4-H Awards Program Missouri Report Forms Application Tips and Benefits
Y2000 Level 1 (ages 8-10)  (PDF)
Y2100 Level 2 (ages 11-13) (PDF) |
Y2200 Level 3 (ages 14-18) (PDF)


For robotics information in the West Central region, click on the robot