This document provides information and instructions for a 4-H self-assessment of citizenship, communication, leadership and learning skills. David Seilstad, a 4-H program specialist, introduces the assessment and explains that it will ask questions about how participation in 4-H may have influenced skills in these areas. Participants are asked to provide some basic information and to complete a form with questions rating their skills both before and after joining 4-H. The assessment will help 4-H staff understand the impact of their programs and design new learning opportunities.