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NRECA Youth Tour Application

June 7th-15th, 2018 Washington, D.C.

To be eligible for the Youth Tour you must be age 16 1/2, a full time dependent of a Tanner Electric Cooperative member and a Junior in High School at the time you submit your application.

Applications are being accepted now through November 1, 2017.

Student Profile:
*Name of Student:
Nickname:
*Address:
*City:
*State:
*Zip:
*Home Phone Number:
*E-Mail Address:
Enter the email address again for accuracy.
*E-Mail Address:
*Current GPA:
*Date of Birth:    (MM/DD/YYYY)
*Name of High School:
*Name of Parents or Legal Guardian:
*Tanner Account Number:
Please answer the following questions. Click and drag the bottom-right corner to expand.

List special activities in which you have participated and/or after-school jobs:
What offices have you held in organizations? List any awards and/or accomplishments as well.
What are your hobbies, talents, or special interests:
Why would you like to participate in this year's Youth Tour?

Please provide two references from a teacher, employer or coach (one must be from a teacher or guidance counselor):

First Reference:
*Name:
*Relationship to Applicant:
*Address:
*City:
*State:
*Zip:
*Phone Number:
*E-Mail Address:
Enter the email address again for accuracy.
*E-Mail Address:
Second Reference:
*Name:
*Relationship to Applicant:
*Address:
*City:
*State:
*Zip:
*Phone Number:
*E-Mail Address:
Enter the email address again for accuracy.
*E-Mail Address:

Please submit a one page essay for each of the following topics:

*1. What is a 'Cooperative'? How were they established, and what purpose do they serve now?:
*2. What are your future plans/goals, and how will you complete or achieve them?:

Please upload a wallet-sized photo of yourself:

*Wallet-sized photo:

Please select a t-shirt size (if selected, the NRECA provides a t-shirt for all participants):

*T-shirt size: Small Medium Large XL XXL

Click here to draw your signature.

Parent or Guardian Signature
With your mouse, draw your signature. Then click Finish.


Date: (MM/DD/YYYY)

Click here to draw your signature.

Applicant's Signature
With your mouse, draw your signature. Then click Finish.


Date: (MM/DD/YYYY)







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