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4-H Shooting Sports Instructor Certification Survey

Ohio 4-H Shooting Sports Instructors maintain certification in each discipline by teaching in that discipline at least ONCE every two years.  Please complete and return the form below so we can update your certification records. Please complete the form by January 1, 2010.

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4-H Shooting Sports Certification Survey

Online Form

Ohio 4-H Shooting Sports Instructors maintain certification in each discipline by teaching in that discipline at least ONCE every two years.  You must be an active volunteer within your county every year or your county office will remove you from their active roster, and in that light will disallow you to participate as an active 4-H certified shooting sports instructor. This interruption of inactivity in your respective county could cause the county to ask you to reapply through the 4-H volunteer process. Please complete and return the form below so we can update your certification records. Please complete the form by January 1, 2010.

Name Phone  County

Address

Original Certification: Most recent instruction taught:
Date Location Date Location
Archery
Muzzleloading
Coordinator  
Hunting
Living History
Pistol
Rifle
Shotgun
Advanced Disciplines:  please specify
              
E-mail Address
 Are you an active part of your County Shooting Sports Program? Yes No If No, What is your activity with shooting sports?
   

Please Submit this form by January 1, 2010.

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Larry Harris

State Extension Program Coordinator, 4-H Shooting/Fishing Sports, 4-H Youth Development

Canter's Cave 4-H Camp, 1362 Caves Rd., Jackson, Ohio 45640

Phone 740.286.4058

Fax     740.286.8622

E-mail harris.870@osu. edu 

Send mail to lharris@ag.osu.edu with questions or comments about this web site.
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Last modified: March 31, 2009

All educational programs conducted by Ohio State University Extension are available to clientele on a nondiscriminatory basis without regard to race, color, creed, religion, sexual orientation, national origin, gender, age, disability or Vietnam-era veteran status.

Keith L. Smith, Associate Vice President for Ag. Admin. and Director, OSU Extension TDD No. 800-589-8292 (Ohio only) or 614-292-1868

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