APPLICATION

All-Expense Paid Trip to

WASHINGTON, D.C.

JUNE 7-16, 2017

GOVERNMENT-IN-ACTION YOUTH TOUR CONTEST

Sponsored by

WHARTON COUNTY ELECTRIC COOPERATIVE, INC.

TOPIC: “HOW WOULD YOU FEEL?”

Explain in an essay or illustrate in a video summary what is happening from the perspective of someone in one or more of these pictures. Describe how you think they feel about their way of life and how electricity could help improve their lives.

DEADLINE:4:00pm March 1, 2017

RULES:

Student must be between the ages of 15 and 19, and must have completed sophomore year of high school.

Parents or legal guardian of student must be an active residential member or employee of Wharton County Electric Cooperative, Inc.

Essay should be approximately 500 words, typed double-spaced. Essays not meeting these guidelines will not be accepted. Videos should be 5-7 minutes.

Return your essay or video with the fully completed Cover Sheet and Information Sheet no later than 4:00pmMarch 1, 2017 to:

YOUTH TOUR

Wharton County Electric Cooperative, Inc.

1815 E. Jackson Street

P. O. Box 31

El Campo, Texas 77437

WINNERwill receive a $400 SCHOLARSHIP upon graduation from high school.

Contact Brenda Rodriguez at 979-543-6271 or

YOUTH TOUR CONTEST

COVER SHEET

(This page, or a photocopy, MUST accompany your entry)

Name ______Grade ______

Address______City______Zip______

High School______City______County______

To win the Youth Tour Trip, contestant’s parent(s)/legal guardian must be an active member/employee

of Wharton County Electric Cooperative, Inc. For verification, the following information must be provided:

Parents/Guardian: Father ______Mother______

WCEC Account Name:______WCEC Account #______

WCEC Account Telephone# ______

Please submit a high-resolution photo in headshot/portrait format. The photo will be publicized in winner announcements and holds no bearing in the application process. Your submission of this photo constitutes you and your parent(s)/guardian(s) permission to use the photo in announcements or other promotional materials.

Youth Tour Winner Requirements

  • Must be able to participate in the Youth Tour trip to Washington, D.C. June 7-16, 2017.
  • Must be able to ride in a car or bus for up to 12 hours (with breaks) in a single day.
  • Must be able to fly in an airplane.
  • Must be able to (and agree to) reasonably assist WCEC in presentation/promotion of the Youth Tour program and WCEC, including promotion at the annual membership meeting in June.
  • WCEC reserves the right to select the runner up or another contestant for the Youth Tour Trip if the winner is found to be a poor representative of the Youth Tour program.
  • The winner’s guardian must give WCEC written permission and a waiver of release for the winner to participate on the Youth Tour.
  • The winner will be covered by Youth Tour’s insurance from home and back.
  • All essays/videos become the property of Wharton County Electric Cooperative, Inc.

Applicant Signature and Date

I have read the Youth Tour Contest Eligibility, Rules and Winner Requirements. By signing below, I attest that I fully understand all of the rules and requirements of this contest and what will be required of me in the event I should win the contest.

Signed ______Date______

Submit essay/video entry with this cover page and a photograph suitable for publication to:

Wharton County Electric Cooperative, Inc., Attn: Youth Tour Contest

P.O. Box 31, El Campo, Texas 77437

All Entries MUST be postmarked on or before March 1, 2017.

INFORMATION SHEET

(Please print clearly or type)

Name: ______Date of Birth ______

Name of Parent(s) or Guardian(s) ______

WCEC Account No: ______[from bill]

Address: ______

Parent/Guardian Phone Number: ______Cell: ______

Email: ______

Applicant’s Cell:______Email:______

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What School Do You Attend: ______

Grade Level: ______

List School Activities/Offices Held:

Special Interests/Hobbies or Other Comments:

======

______

Student’s SignatureParent/Guardian Signature

______

Date