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GOVERNMENT-IN-ACTION YOUTH TOUR APPLICATION
All information contained within the application is strictly confidential. The LCEC Government-in-Action Youth Tour Selection Committee reserves the right to require verification of all information provided by the applicant, if deemed necessary.
APPLICANT INFORMATION
Full Name
Date of Birth (mm/dd/yyyy)
Applicant Information
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Email
Home Phone
Cell Phone
MAILING ADDRESS INFORMATION
MAILING ADDRESS INFORMATION - Contact Element
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Relationship to LCEC Member
Have you been a finalist for the Youth Tour in the past?
Yes
No
If Yes, what year?
Have you been a Youth Tour Delegate in the past?
Yes
No
If Yes, what year?
PARENT OR GUARDIAN INFORMATION
parent contact information
Name of Parent or Guardian
Email
Home Phone
Cell Phone
Work Phone
Is Parent of Guardian an active LCEC member?
Yes
No
Name Appearing on LCEC Bill
Account No.
ELECTRIC SERVICE ADDRESS INFORMATION
SCHOOL INFORMATION
Name of High School or Home School Association
School - contact element
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
High School Principal or Counselor
Phone
Fax
Email
Expected Date of Graduation
ESSAY SECTION
Please prepare and attach a brief essay, in 12 point font, on each of the following topics:
1. What is a cooperative; its purpose; method of operation, etc? How is a cooperative different from an investor-owned electric utility?
2. Why should you be chosen as Lea County Electric’s delegate to the 2024 Youth Tour. What would you expect to gain from the experience?
Prepare a 500-word essay on one of the following questions:
1. Of all the political leaders in our nation, past or present, who do you admire most and why?
2. What current issue interests you most and why?
3. Growing up in a rural area has certain advantages as well as disadvantages. Describe how living in the eastern New Mexico and west Texas area has influenced your development.
4. In terms of personal development, what is your greatest strength and how has it enhanced your life?
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Signature
Sign above
STUDENT RELEASE
Selection will be made without regard to the applicant’s race, color, ethnicity, religion, gender, or physical handicap. Two (2) winners from LCEC will be selected for the Washington, D.C. trip. Selection is based on the completed application. The 2024 Government-In-Action Youth Tour will be held Mid- June. Delegates selected to represent LCEC as a Youth Tour delegate are required to travel with their state delegation for the full tour. Delegates are not allowed to travel independently from the delegation to, from or during the trip to Washington, D.C. except in the case of an emergency. In the event of an emergency, arrangements must be approved and will be coordinated through the Statewide organization. If a delegate cannot attend the entire Youth Tour, the delegate will be required to forfeit the trip and will become an alternate. I certify that this information contained in this application is true, complete and accurate. I authorize release of information to confirm and/or verify this application. I further authorize release of my name and photos in connection with announcements of Youth Tour awards in the event that I am selected to be a LCEC Youth Tour recipient.
Applicant's Signature
Sign above
Date
PARENT RELEASE
I/We hereby grant permission for (name of student)
to enter the LCEC Government in Action Youth Tour competition. I/We further authorize release of the name and photos of my/our child in connection with announcements of Youth Tour awards in the event that he/she is selected to be a LCEC Youth Tour recipient. I/We understand that my/our child must attend the entire Youth Tour and travel both to and from Washington with the state delegation. Only in the event of an emergency will my/our child be able to leave the tour. I/We understand that coordination of my/our child’s return in the event of an emergency will be coordinated through the Statewide organization.
Parent Signature
Sign above
Date
Relationship to Applicant
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