Government-In-Action
Youth Tour
Essay
Contest Application
Enclose
a 500 Word Essay on
“The
History of Electric Cooperatives”
Deadline – 5:00 PM April 1, 2008
Name:_________________________________________________
Address:________________________________________________
City: _________________ State: ______ Zip:
__________
Phone: _________________ Birth Date: ________________
School & Grade:
_________________________________________________
Parent or Guardian's Name:
_________________________________________________
Parent or Guardian's Signature:
_________________________________________________
List the account number of the Coop member that you are applying under:
__________________________________________________