Staff Checklist for Starting a New 4-H SPIN Club - Cooperative Extension: 4-H - University of Maine Cooperative Extension

Date*

Staff Name*

First Last

Staff Email*

Enter Email Confirm Email

Club Contact Information

Club Contact Name

First Last

Address

Street Address City ZIP Code

Email

Enter Email Confirm Email

Primary Phone

Secondary Phone

Best time and method to contact

Associated Agency

Agency Contact

Task Checklist

Volunteer interview, including discussion on volunteer role description and application process. Provide the following 4-H volunteer forms: application, background check, reference (2), assurance of non-discrimination, standards of behavior.

Date the task was completed:

Screening forms completed and received in Extension office:

Application
Background Check
Reference 1
Reference 2

Date screening forms completed and received in Extension office:

Volunteer training completed:

BIG-M
PYD
Ages & Stages
Keeping Youth Safe

Date volunteer training completed:

Enrollment forms completed:

Non-discrimination form
Standards of behavior
Photo release

Date enrollment forms completed:

Is volunteer associated with a partnering organization?

Yes
No

If yes, provide agency name, address, and phone:

Risk Management and Compliance

Certify that volunteer has completed the online training ‘A 4-H Pledge Keeping Youth Safe’

Date form received:

Certificate of Insurance required?

Yes
No

If yes, submit Certificate of Insurance Request form (in Sec 3) to University of Maine Risk Management.

Date form was sent:

Discuss program planning with volunteer, incorporating youth voice and youth leadership opportunities; work with the volunteer to begin developing the SPIN Club Volunteer Plan of Action.

Date the task was completed:

Discuss celebration of mastery for culminating event.

Date the task was completed:

Discuss community service opportunities with volunteer.

Date the task was completed:

Work with volunteer to market program, before and during sessions.

Consider multi-media coverage depending on intended audience: Newsletter, Flyer, Media release (including print, radio, local access TV), Extension website, Facebook. Remember to work with Extension staff media liaison to maximize impact.

Date the task was completed:

Distribute 4-H enrollment forms to SPIN club members.

Date the task was completed:

Quality Assurance

Enrollment forms are complete, signed and submitted to Extension office.

Date the task was completed:

Attend first club meeting.

Date the task was completed:

4-H Pledge included at start of meeting.

Date the task was completed:

Assist with completing and collecting forms if needed.

Date the task was completed:

Take photos of youth engaged in hands-on learning (required signed photo release on file).

Date the task was completed:

Check for adequate volunteer/youth ratio.

Date the task was completed:

Check there are adequate resources for program.

Date the task was completed:

Include optional Equal Opportunity for All survey for all club meetings.

Date the task was completed:

Follow up with volunteer before last club meeting to discuss future volunteer opportunities and/or program expansion.

Date the task was completed:

Document success stories and include in County civil rights file.

Date the task was completed:

Distribute and collect evaluation and feedback forms. Extension staff can assist volunteer(s) and youth if needed.

Date the task was completed:

Attend culminating event, if possible.

Date the task was completed:

Review program data including number of volunteer hours, number of youth reached, and evaluation data.

Date the task was completed:

Comments

This field is for validation purposes and should be left unchanged.