Youth Tour Application

Your Information

First

Middle

Last

Suffix

Address

City/Town

State/Province

ZIP/Postal Code

Do you have a different mailing address?

yes

Address

City/Town

State/Province

ZIP/Postal Code

Your Phone Number

Your E-Mail Address. Please ensure this is an email you check regularly. We will send correspondence to this address.

High School

Year in school at the time of application

Sophomore

Junior

Parents or Guardians Information

Parents or Guardians Name

Lane-Scott Electric Account Number

Parents or Guardians Phone Number

E-Mail Address

Questions: Your submission to the following questions will be reviewed by a panel of judges who will select two students to attend the Cooperative Youth Tour in DC and two students to attend the Youth Leadership Camp in CO.

List activities and/or organizations you are currently involved in:

What are your future plans after high school:

Which of the 7 Cooperative Principles resognates the most with you, and why?

The 7 Cooperative Principles can be found 7 Cooperative Principles

What do you hope to gain by attending either the Leadership Camp or Youth Tour:

Describe what you believe to be the most important attribute(s) of a leader. In 200 (of your words) or more.

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Toll Free: (800) 407-2217 Pay By Phone: 1-844-968-1966

The 7 Cooperative Principles can be found 7 Cooperative Principles