Grundy County REC Youth Tour Application

Grundy County REC
A Touchstone Energy® Cooperative

For deadline information, please visit https://grundycountyrecia.com/youth-tour

In order to qualify, applicants must be a current high school sophomore, junior, or senior whose parent(s) or legal guardians are current members of Grundy County REC.
Name

First NameMiddle NameLast Name
Date

MonthDayYear
Date
Street Address
Apartment Unit
City
State
ZIP Code
Phone
Email
example@example.com
Date of Birth

MonthDayYear
Date
Grade in School
High School
Grundy County REC Account #
Parent/Guardian Name
Relationship
Parent/Guardian Name
Relationship
Hobbies/Special Interests
Leadership Positions in School Social Civic or Other Organizations
Community/Extracurricular activities
How did you learn about Grundy County RECs Youth Tour Program?
Essay Questions. The essays should be no more than 300 words.
1. Why do you want to be Grundy County REC’s delegate for the Youth Tour?

0/300
2. What are the biggest energy issues that your generation will face?

0/300
I certify that all information provided on this application and other required documents is complete and accurate to the best of my knowledge. If I am selected, I hereby authorize Grundy County REC to utilize information from this application, the interview, and any presentations for public relations purposes.
Student Signature

Clear
Date

MonthDayYear
Date
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
Please verify that you are human*
Please reach out to Allyson Miller with questions:
Allyson Miller
Grundy County REC
PO Box 39
303 North Park Avenue
Grundy Center, IA 50638
amiller@grundycountyrecia.org

Semi-finalists will be invited to participate in the final section process, which consists of an interview with Cooperative staff at our headquarters office in Grundy Center, IA.

In order to qualify, applicants must be a current high school sophomore, junior, or senior whose parent(s) or legal guardians are current members of Grundy County REC.
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