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PA 4-H HORSE SAFETY AWARDS
PURPOSE
Accidents are the leading cause of death for children and youth ages 1 to 24 years. The Pennsylvania 4-H Horse Program will recognize significant activities by individuals, groups and clubs in the promotion of safety to save lives and reduce injuries. The purpose of the Pennsylvania 4-H Horse Safety Awards program is to promote safety by recognizing the efforts of youth and adults in creating and delivering equine safety programs. Additionally, the safety awards program highlights the leadership of 4-H in safety education and accident prevention. Similar awards programs are encouraged at the local or county level.

ELIGIBILITY
The award is open to all youth and adults involved with the 4-H Horse Program who have conducted significant equine safety programs during the past two years. Programs may include, but are not limited to: Children, Emergency Preparedness, Farm/Ranch, Health/First Aid, School, and Recreation. Safety program must have been conducted within the two years prior to January 1, 2007.

ENTRY DIRECTIONS
Applicants must complete official entry form. Supplemental video/audio tapes will be accepted. The decision of the judges is final. The entry must be postmarked by February 5, 2007. (Deadline extended!) Mail entry form to: Dr. Dennis Murphy Penn State University 221 Ag Engineering Building University Park, PA 16802

JUDGING CRITERIA
All entries will be judged by the following criteria. 1. Clarity of Presentation (overall entry... 10%) 2. Evidence of need for program (question 3... 20%) 3. Leadership in initiating or developing program (questions 4,5,6... 20%) · Personal/group involvement · Involvement of other groups/organizations · Involvement of media 4. Results achieved (questions 7 & 8 ...50%) · Number of people reached · Changes affected

College of Agricultural Sciences

Department of Dairy and Animal Science

PA 4-H Horse Program Award Application
Awards are granted to individuals and groups for achievement in safety awareness and accident prevention. Plaques will be presented at the PA 4-H Horse Forum March 2-4, 2007 held in State College. Award recipients will receive a complimentary registration to the 2007 PA 4-H Horse Forum. Deadline: All entries must be postmarked by January25, 2007. Award Category Individual Youth (4-H member 8-18) Individual Adult (leader, parent, extension agent, etc.) Club/Group (local 4-H club, therapeutic riding program, group of 4-H members, etc.) 1. Nominee Address County Phone Email Fax

If group or club nomination: Name of group or club Name of leader (s) Phone Number of youth involved in planning, organizing, and conducting safety program and/or activity Age range of youth involved:

Number of people educated by safety program Dates of primary activities: from Scope of activity: club school neighborhood city county state to

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2. Briefly describe your organization's safety activity/program. (Include what, when, audience, age range, number reached and where program was conducted.)

3. Why did you or your club select the safety activity/program?

4. List of materials distributed (i.e. brochures, handouts, etc.)

5. List the means used to promote your project/activity.

6. What resource people were involved? (List groups or people who cooperated or helped with resources, etc.)

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7. What did the group learn? (Include new skills, knowledge, and attitudes learned by members.)

8. What was the impact of your major safety and health activities and/or program? (Include how your activities resulted in a safer community.)

9. Please provide an outline of the safety program/event/activity that was done.

10. Attach up to 3 pages of supporting materials (i.e. photographs, newspaper articles, correspondence, resource materials, etc.) Captions describing each photograph are limited to 30 words. Supplemental materials must be dated.

HELPFUL HINTS- Program impact is important. Please be sure to emphasize how your safety and health efforts have improved the safety and health of individuals in your community.

This publication is available in alternative media on request.
The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, and employment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy or by state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, including harassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disability or handicap, national origin, race, religious creed, sex, sexual orientation, or veteran status. Discrimination or harassment against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding the nondiscrimination policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA 16802-5901, Tel 814-865-4700/V, 814-8631150/TTY.

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