Youth Tour 

Application

Name

 

Address

 

 

 

Telephone Number   (       )                               Date of Birth  

 

Name of Parent or Guardian ________________________________________________

 

High School currently Attending____________________________Grade____________

 

Knowledge of Electric Cooperatives shown by completing a Web Quiz

This quiz consists of 15 multiple choice, short answer and short essay questions.  Quiz will be graded with weighted emphasis on the essay questions.  Answers to the essay portion of the quiz may be typewritten and double-spaced.  Please attach the quiz and answers to this application.  All answers should be void of specific personal references to insure anonymity of the essay necessary for judging purposes.

 

Statement of Applicant and Parent/Guardian 

We have examined this application, including accompanying quiz,  the information above is true and the quiz was completed by the student who has signed below.

 

Date:__________________Signed:  _________________________________________

                          (Applicant)

 

Date:  _________________ Signed:  _________________________________________

                          (Parent or Guardian)

 

City

State

Zip Code