MU University of Missouri

 HOME | CALENDAR |SITE MAP

4-H clover

Missouri 4-H
4-H Center for Youth Development


Search:

Events

About 4-H | Get Involved | Projects | State Programs | Events  | Resources | Recognition | News | 4-H Foundation | Contacts

Youth Civic Leaders Summit

Youth Civic Leaders Summit
March 6-8, 2009

Windermere Conference Center
Roach, Missouri (near Camdenton)

Forms for Youth Civic Leaders Summit

 


 

Linkin' to Healthy Leadership 2009

 

The Youth Civic Leaders Summit is a statewide weekend retreat for young people who are active or aspiring leaders and decision-makers in their communities.

 

Young people ages 13-18 active with 4-H Councils, Junior/Senior Leaders, Youth EXCEL, Youth Summit, and similar leadership programs are encouraged to attend as well as the adults who support them. 

The Summit will engage young people in meeting, learning alongside, and having fun with youth and adult leaders from around the state.  Other highlights include a teen Talent showcase, social time/games and outdoor challenge course and recreation. 

 

Registration

Counties may register one or more teams.  Teams may consist of up to 8 youth and 2 adults (10 people total).  While at the retreat, teams will develop an action plan to take home and work on in their communities.

 

Registration forms are submitted to your county Extension office with a county due date.  County team summary form and registrations are due to the state 4-H office by January 15.

Location
Windermere USA is a world-class camp and conference center in the heart of Missouri's Lake of the Ozarks region.

Windermere Conference Center
PO Box 458
Roach, MO 65787-0458
Telephone:  1-800-346-2215
Web site: http://www.windermereusa.org/

Cost
$100.00 for both youth delegates (5-6 per sleeping room) and adults/staff (2-4 per sleeping room).

Registration fee includes costs of lodging, meals, activities, insurance, conference materials, and meals except for dinner on Friday.   For the Edge challenge course, add $14 and for the Windermere Cave, add $5.

Also included in the registration fee are resources for youth-adult partnership action planning. 


Team Information and How to Registration
Youth must be 13-18 years of age by January 1 to participate.

Youth
1. Complete the registration form (PDF) and health form (PDF fillable) completely and submit to your county Extension office by the county deadline (check with local office). 

2.  Look over the program descriptions in the registration form and mark your workshop track and recreation choices.  Workshop tracks and recreation options have limited capacity.  Slots will be filled according to when your county team registrations are received in the state 4-H office.

3.  Have a parent or guardian complete the Windermere Medical Release Form (PDF).  The form is required by Windermere staff for emergencies.

Adults
A ratio of one adult team member to ten youth team members is required; a ratio of one adult to five youth is recommended.  At least one adult team member must be listed on all youth registration forms. 

Adult team members from each county will be expected to chaperone youth team members throughout the Summit.  Adults should plan to participate fully in the program along with youth team members, including workshop tracks and recreation.  If counties are sharing chaperones, 4-H youth staff must indicate on the county registration form how payment for that chaperone will be made.  

1.  Complete the registration form (PDF) and adult health form (PDF fillable) completely and submit to their county Extension office by the county deadline (check with local office). 

2.  Look over the program descriptions and make your workshop track and recreation choices.  Workshop tracks and recreation options have limited capacity.  Slots will be filled according to when your county team registrations are received by the state 4-H office.

3.  Complete the Windermere Medical Release Form (PDF).  The form is required by Windermere staff for emergencies.


Team Participation at the Summit
Each youth/adult team is asked to come prepared to participate in the Summit in two ways:

1.  Participate in the Team Talent (T2) Showcase on Saturday evening, March 7th by bringing a song, skit, dance, poem, spirit cheer, slide show or other presentation to share with Summit participants.  Each team will have 5 minutes to share their talent.  Youth and adult team members are encouraged to work together on the talent presentation!

2.  Think about what your team wants to accomplish this next year and get ready to create an action plan at the session on Sunday, March 8th.  Team action planning will empower your group through visioning, tapping your talents, and identifying resources and steps needed to accomplish your vision!


Conference Schedule
The Summit will start with an evening plenary session on Friday at 7:30 p.m. and finish at noon on Sunday.  Summit registration is between 5:00-6:00 p.m. on Friday.  Meeting for all adult chaperones starts at 6:00 p.m.

Additional event information will be sent to county 4-H youth staff and registered youth and adult team members in a later mailing.  This will include a school excused absence letter, a suggested packing list, Conference Code of Conduct and chaperone information.

The conference planning committee is committed to making activities and programs accessible to all participants.  If a youth or adult has special requirements due to physical, vision, hearing or other disability, please make sure the need is identified.       


County Registration Submission
Registration materials for youth and adults are submitted to the county Extension office with a county due date.  County team summary forms and registrations are due to the state 4-H office by January 15.

Registrations may be sent when a team has been formed.  One summary form per team. Send the following items for each team. 

  • Team Summary Form

  • Check made payable to Missouri 4-H Foundation for total amount due

  • Registration and 4-H health form for each youth and adult team member

Mail to:
Youth Civic Leaders Summit, 801 Clark Hall, Columbia, MO 65211

Scholarships
For youth/adult participants with financial need, team leaders may request a partial scholarship.  A limited number of scholarships are available while funds last. 

To request a scholarship, submit a statement of need on a separate sheet of paper with your registration form, health form and Windermere release form to your county Extension office.  Conference organizers will review scholarship requests after all materials are received.

Refund/Cancellation/Substitution Policy
If a cancellation/refund is requested, contact the conference organizers immediately.  Because event numbers must be finalized with Windermere in advance of the event, refunds for cancellations will only be made until February 1. 

If a substitution is requested, contact the conference organizers immediately.  Counties may request male-for-female or female-for-male substitutions until February 1.  Male-for-male or female-for-female substitutions may be requested until February 15, if the attendee agrees to the same roommates and activity assignments as the original registrant.
 


Forms for Youth Civic Leaders Summit

Summit Flyer (PDF)

Tentative Summit Schedule (PDF)

Team summary form is located in Just for Staff

Youth Team Member

Registration Form (PDF)

Youth Health Form (PDF fillable)

Windermere Medical Release Form (PDF)

Adult Team Member

Registration Form (PDF)

Adult Health Form (PDF fillable)

Windermere Medical Release Form (PDF)

 


Conference Organizers/Contacts
Steve Henness
Phone: 573-884-6618
E-mail: hennesss@umsystem.edu

Kim Hedges
Phone: 573-882-9359
E-mail:
hedgesk@missouri.edu

     

Last Updated 1-Dec-08

 


Can't find something?  Contact lemmonc@missouri.edu (please include your county) or 573-882-9360

The Missouri 4-H website contains many PDF documents that require the free Adobe Reader.  You may need to download the newer version of Adobe Reader if you encounter problems reading the PDF documents.

 

University of Missouri Extension

4-H Center for Youth Development

Copyright © Curators of the University of Missouri, all rights reserved
DMCA and other copyright information
Disability resources Statement of nondiscrimination
E-mail comments