PNW Horse Committees Application Form

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Submit to: PNW Horse Committees 4-H Extension Service 105 Ballard Hall Oregon State University Corvallis, OR 97331 PNW Horse Committees Application Form Check which committee you are applying for (see descriptions): PNW Horse Management & Development Committee PNW Horse Judges Training Committee PNW Horse Judges Review Committee Name: Address: City: State: Zip: Email address: Home phone: Work/cell phone: 4-H Role: Leader Agent Judge Member Other (specify) Number of years involved in 4-H: 1. What experience do you have that would benefit this committee? 2. Why would you like to serve on this committee? 3. Please have the recommendation filled out by a person involved in the 4-H program. (This could be a county agent or staff person, a superintendent, a 4-H leader, judge, etc.)

Recommendation for PNW Horse Committees Applicant Name Role in County How long has the applicant been involved in the local 4-H program? Please rate the applicant on the following with 5 being the highest quality: Knowledge of program/philosophy 1 2 3 4 5 Equine knowledge 1 2 3 4 5 Dependability 1 2 3 4 5 Ability to work as a team member 1 2 3 4 5 Ability to contribute in a group setting 1 2 3 4 5 Ability to follow rules 1 2 3 4 5 Ability to accept majority opinion 1 2 3 4 5 Integrity 1 2 3 4 5 Ethics 1 2 3 4 5 Follow through 1 2 3 4 5 Ability to work via e-mail 1 2 3 4 5 Promptness in response 1 2 3 4 5 Ability to maintain confidentiality 1 2 3 4 5 If this applicant becomes a member of the committee, would you consider him/her an asset to the 4-H horse members of the state and the PNW? Yes No Please give reasons: Is there any reason you are aware of that this applicant should not be a committee member? Yes No What is your overall recommendation of this applicant? Excellent Good Average Do Not Recommend Please write any additional comments on the back. Printed Name Title Signature Date

PNW Horse Management and Development Committee (may submit at any time) Oversee all other PNW Horse committees Review submitted changes to PNW publications and make final decisions regarding changes Select committee members for other PNW Horse committees Promote cooperation between the PNW states Chairs of other PNW Horse committees A minimum of 1 and maximum of 3 representatives from each PNW state (prefer equal numbers from each state) This committee will meet once or twice a year as needed at sites determined by the committee. Many issues will be discussed via email or telephone conference calls. Term Limit: Members will serve 3-year terms. Terms will be staggered so that members will rotate on and off the committee each year. Terms start in January. Selection process: Submit the form and recommendation to OSU Extension Office. Selection of committee members will be made by the State Office representatives.

PNW Horse Judges Review Committee (may submit at any time) Establish and maintain criteria for all PNW Horse Judges lists Review evaluations and criteria for placing judges on the apprentice, judges, and Dad Potter and Evaluator lists Review evaluations and criteria for removing judges from the lists Communicate policy and rule changes to all judges Participate in all PNW Horse judges trainings Requirements: Must have access to email. Must take confidentiality seriously. Committee chair 1 representative judge from each PNW state This committee will meet once or twice a year as needed at sites determined by the committee. Most issues will be discussed via email or telephone conference calls. Term Limit: Members will serve 3-year terms. Term begins in January after a Judges Training. Application & Selection process: Submit the form and recommendation to the OSU Extension Office. Selection of committee members will be made by the PNW Horse Management and Development Committee

PNW Horse Judges Training Committee Plan and organize the next PNW Horse Judges Training This includes setting format, determining sessions, planning the schedule, and selecting instructors. Participate in the PNW Horse judges training May help in the planning and organizing of specialty clinics Requirements: Must have attended at least one previous Horse Judges Training Must have access to email A maximum of 10 members with at least 1 from each PNW state This committee requires a large time commitment. There are several planning meetings held at various sites. Much work is also done via email. The committee usually begins meeting two years before the event date. Selection process: Submit the form and recommendation to the OSU Extension Office. Selection of committee members will be made by the PNW Horse Management and Development Committee