Form No. 285
May 1,1931
COOPERATIVE EXTENSION WORK IN AGRICULTURE AND HOME ECONOMICS
U. S. Department of Agriculture
and State Agricultural Colleges
Cooperating
Extension Service,
Office of Cooperative Extension Work
Washington, D. C.
ANNUAL REPORT OF COUNTY EXTENSION WORKERS
This report form is to be used by county extension agents, such as county agricultural agent, home
demonstration agent, club agent, and negro agent, reporting on their respective lines of work.
(Name) S/' v (Title)
If agent has not been employed entire year, indicate exact period. Agents resigning during the
year should make out this report before quitting the service.
READ DEFINITIONS, PAGE 3
Approved:
Date.
State or District Supervisor.
Date.
State Extension Director.
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