New Adult 4-H Volunteer Paper Application Form Revised 4/16/2009
University of California Division of Agriculture and Natural Resources
4-H Youth Development Program
New Adult 4-H Volunteer Paper Application Form
The 4-H Youth Development Program is in every county in California. 4-H is a place where young
people are given many opportunities to build confidence, learn responsibility, and develop skills
that will last them a lifetime. It’s a place where youth make friends and share interests, ranging from building robots to raising
rabbits, from designing web pages to landscape design. It’s a place where youth work together to make a positive difference in
their community, and adult volunteers make a powerful difference in the lives of young people. Get involved in the 4-H
community and make a lasting difference! For more information about 4-H, visit www.ca4h.org.
4-H Youth Development Program Volunteers are appointed by the County Director. The decision to appoint or not appoint
a volunteer (whether initially or upon renewal) rests with the County Director, in consultation with appropriate 4-H staff. All
appointments are made for the best interest of the 4-H Youth Development Program and 4-H members.
Adults are eligible to participate in 4-H if they are 18 years of age or older. A volunteer cannot simultaneously be a 4-H
member. Chaperones must be 21 years of age or older (county age requirement may differ).
This application form is used for adults in all delivery modes in which the adult will have contact with youth.
Step 1: REQUIRED FORMS, BACKGROUND CHECK, AND ORIENTATION
Form: Enrollment Form with signatures (kept on file at the County 4-H Office)
Form: Waiver of Liability (kept on file at the County 4-H Office)
Form: Medical Release and Health History (kept on file by the local 4-H Club/Unit Leader)
Form: Volunteer Confidential Self-Disclosure Form (kept on file at the County 4-H Office)