Staff Checklist for Starting a New 4-H SPIN Club
Date
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Staff Name
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Staff Email
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Club Contact Information
Club Contact Name
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Last
Address
Street Address
City
ZIP Code
Email
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Primary Phone
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Associated Agency
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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:
MM slash DD slash YYYY
Screening forms completed and received in Extension office:
Application
Background Check
Reference 1
Reference 2
Date screening forms completed and received in Extension office:
MM slash DD slash YYYY
Volunteer training completed:
BIG-M
PYD
Ages & Stages
Keeping Youth Safe
Date volunteer training completed:
MM slash DD slash YYYY
Enrollment forms completed:
Non-discrimination form
Standards of behavior
Photo release
Date enrollment forms completed:
MM slash DD slash YYYY
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:
MM slash DD slash YYYY
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:
MM slash DD slash YYYY
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:
MM slash DD slash YYYY
Discuss celebration of mastery for culminating event.
Date the task was completed:
MM slash DD slash YYYY
Discuss community service opportunities with volunteer.
Date the task was completed:
MM slash DD slash YYYY
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:
MM slash DD slash YYYY
Distribute 4-H enrollment forms to SPIN club members.
Date the task was completed:
MM slash DD slash YYYY
Quality Assurance
Enrollment forms are complete, signed and submitted to Extension office.
Date the task was completed:
MM slash DD slash YYYY
Attend first club meeting.
Date the task was completed:
MM slash DD slash YYYY
4-H Pledge included at start of meeting.
Date the task was completed:
MM slash DD slash YYYY
Assist with completing and collecting forms if needed.
Date the task was completed:
MM slash DD slash YYYY
Take photos of youth engaged in hands-on learning (required signed photo release on file).
Date the task was completed:
MM slash DD slash YYYY
Check for adequate volunteer/youth ratio.
Date the task was completed:
MM slash DD slash YYYY
Check there are adequate resources for program.
Date the task was completed:
MM slash DD slash YYYY
Include optional Equal Opportunity for All survey for all club meetings.
Date the task was completed:
MM slash DD slash YYYY
Follow up with volunteer before last club meeting to discuss future volunteer opportunities and/or program expansion.
Date the task was completed:
MM slash DD slash YYYY
Document success stories and include in County civil rights file.
Date the task was completed:
MM slash DD slash YYYY
Distribute and collect evaluation and feedback forms. Extension staff can assist volunteer(s) and youth if needed.
Date the task was completed:
MM slash DD slash YYYY
Attend culminating event, if possible.
Date the task was completed:
MM slash DD slash YYYY
Review program data including number of volunteer hours, number of youth reached, and evaluation data.
Date the task was completed:
MM slash DD slash YYYY
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Staff Checklist for Starting a New 4-H SPIN Club