Youth Tour Student Name(Required) First Last Student Phone(Required)Student Email(Required) Birth Date(Required) MM slash DD slash YYYY Birthplace - City / Town(Required) Birthplace - County(Required) Birthplace - State(Required) High School(Required) Class(Required) Junior Parent Name(Required) First Last Parent Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent Email(Required) Parent Phone(Required)Emergency Contact Name (in case parent can't be reached)(Required) First Last Emergency Contact Relationship(Required) Emergency Contact Phone(Required)Congressional Representative & District(Required) Use this link to determine your congressional representative - http://www.house.gov/representatives. *Enter your zip code in the upper-right box under Find Your Representative. Click Look-Up.Non-school activities: List the top 5 activities including jobs, church and community service.(Required)School activities: List the top 5 activities including FFA, band, student council, yearbook staff, sports, clubs or other school participation.(Required)What is your grade point average?(Required) Please upload a recent photo of yourself.(Required)Accepted file types: jpg, pdf, Max. file size: 50 MB.Writing assignment (one paragraph): Tell us about yourself - include details about their life and interests. This may include school activities, roles in organizations, hobbies or special interests.(Required)Writing assignment (one paragraph) - Why is being a member of an electric cooperative important?(Required)Writing assignment (one paragraph): What do you hope to learn from participating in the Youth Tour?(Required)
