Exceptional 4-Her Nominations

The Farmer’s Exchange is looking for nominees for its annual Exceptional 4-H’er Award, which seeks to recognize
those in 4-H who have overcome obstacles and adversity to excel in their 4-H endeavors.

To nominate a 4-H’er, please complete, in detail, both pages of the form below, print and fax to 574-831-2131, or they
can be e-mailed to carolina@farmers-exchange.net. Those who prefer to mail in their nominations can send them to
Carolina Keegan, PO Box 45, New Paris, IN 46553. Please include a color headshot photo of the 4-H’er you are
nominating. The photo can either be e-mailed or include a photograph. Photographs cannot be returned.

Feel free to forward or give this form to others, as anyone can nominate deserving 4-H’ers for this award.

All nominations must be received by The Farmer’s Exchange by June 3, 2022.