Youth Tour Application Form

The students selected to attend the youth tours must be a current sophomore or junior at the time of application and shall have parents that reside in Southern Pioneer Electric’s service territory or attend one of the following high schools: Ashland, Cunningham, Fowler, Kiowa County, South Barber, Liberal, Medicine Lodge, Minneola, Satanta, Skyline, South Central, Southwestern Heights or Sublette.

To complete your application please submit the following electronically. The information must be received by October 21, 2020 by 5 p.m.

Application (below)

Student in Good Standing Form

Name*
First Middle Initial Last
Email*
Please ensure this is an email that you check regularly, we will send correspondence to this address.
Parent/Guardian Name*
Home Phone*
Cell Phone*
Preferred Method of Contact*
Please select at least ONE option.
- Email
- Phone Call
- Text Message
High School*
Year in School
- Sophomore
- Junior
Address*
Street Address Apt # City State ZIP Code
Mailing Address*
Street Address Apt # City State ZIP Code
Please write a brief (No less than 5 and no more than 7 sentences) paragraph on what you feel are qualities or skills of a good leader.*
Student in Good Standing Form
Please attach the "Student In Good Standing" form, available above. You may also email the form to dlongoria@pioneerelectric.coop or mail it to P.O. Box 430 Ulysses, KS 67880
I certify that this information is true, complete and accurate. I authorize release of information to confirm and/or verify this application. I further authorize release of my name in connection with announcements of Youth Tour awards in the event that I am selected to be a Southern Pioneer Electric Youth Tour recipient.
Digital Signature*
- I understand that checking this box constitutes my digital signature of this form.
Availability*
- I understand this application is for both the Washington, D.C. Youth Tour and the Youth Leadership Camp in Steamboat Springs, Colorado. The Washington, D.C. “Government in Action” Youth Tour will be June 17-24, 2021 and the Cooperative Youth Leadership Camp in Steamboat Springs, Colorado will be July 16-22, 2021.
File
Comments
This field is for validation purposes and should be left unchanged.