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*

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Club Contact Information

Club Contact Name

First Last

Address

Street Address City ZIP Code

Email

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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:

Phone

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