2026 Youth Tour Application

Student Name

Parent/ Guardian Name

Address

City/Town

State/Province

ZIP/Postal Code

Student Cell Phone

Parent/ Guardian Cell Phone

CCEC Member Number

Student Email

Parent/Guardian Email

High School

GPA

Do you plan to attend a college/trade school?

Yes

T-Shirt Size

Small

Medium

Large

X-Large

What are your plans after graduating high school?

Please list all volunteer, extra curricular, work and co-curricular (school) activities you participate in, including club involvement, community service and any offices or leadership positions you have held. Please feel free to list any academic or other awards & honors you have received, if applicable.

List any public speaking or writing experience, such as school newspaper, yearbook, etc.

Why would you like to attend the Youth Tour?

What is the one thing you most want to see or do in Washington D.C.?

How do you feel you will benefit by participating in the Youth Tour?

If you were able to meet with your U.S. representative in Washington D.C., what would you ask him or her todo to shape the future for the United States?

Describe the Cooperative model and what it means to your community to be served by an electric cooperative.

As someone who has grown up in an increasingly digital world, what do you think are the most important energy needs for your community?

Applicant Certification

I agree that, if I'm selected to be a Washington, D.C. Youth Tour Representative for Coos-Curry Electric Cooperative (CCEC), I will be expected to participate in a CCEC's Board Meeting or another CCEC event in 2026. I understand the Youth Tour is only available to high school juniors who live in a home served by CCEC. I also agree that, if I'm selected, I will be available to attend the Washington, D.C. Youth Tour in June 2026 (all expenses paid except personal spending money). Recipients will be required to complete a consent form and provide a photo for submission to the tour organizers. Please sign by entering your full name.

Photo Upload

Please attach a photo of the applicant

Upload requirements

Student Signature

Sign above

Parent/ Guardian Signature

Sign above

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Search form