Fillable 2021 CAEC Virtual Youth Tour Application Form

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2021 CAEC Virtual Youth Tour Application Form

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The 2021 CAEC Virtual Youth Tour Application Form form is 4 pages long and contains:

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  • 11 check-boxes
  • 36 other fields

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2021 CAEC Virtual Youth Tour
Application Form
Applicants must have a minimum GPA of 2.5, be a high school
junior and attend school in CAEC's service area.
Personal Information:
Student Name:
Student Address: State:City: Zip:
Student
Cell Phone #:
Parents Names:
Are you a member of CAEC?: Account # if answered yes:
School Attended: Grade Level:
School Address:
Parent Cell
Phone #:
GPA:
T-Shirt Size:
City: State: Zip:
Yes No
E-mail Address: Driver License #:
First Middle Last
Preferred Name to go by: Birth Date:
Sex: Male Female
Do you have internet access?
Yes
No
Honors, Affiliations and Community Service:
In the space provided, please list any organizations in which you currently participate. Make sure to include any
office held. Provide examples of your community service activities. List references if you are employed.
You may attach a resume if you have one completed.
High School:
Church Related:
Civic:
Work Experience:
Please describe your current educational or career objectives:
Essay Portion:
On a separate piece of paper, please write a 250-500 word essay on the following topic:
If someone were to ask you, where does electricity come from, what would be your
answer?
Additional information:
Who are your state legislators?
Senator:
Representative:
Who is your U.S. Senator?
Who is your U.S. Representative?
What topic would you like to discuss with your local legislator and why?
Will you be able to participate virtually from your home or will you need a CAEC facility to provide you with internet?
We will be sending communications prior to and the day of Youth Tour, which is your preferred communications channel?
Email
Text
Remind App
Yes, I can participate from home:
No, I will need access to internet:
Consent:
Student Consent:
By signing below, said student acknowledges that all information provided is accurate and honest. Student is also agreeing to
attend 2021 CAEC Virtual Youth Tour, March 17.
Student Signature:
Parental Consent:
By signing this form, the parent or guardian of said student is allowing the student to participate in all activities related to
the 2021 CAEC Virtual Youth Tour, March 17.
Parent or Guardian Signature:
Date:
School Consent:
By signing this portion of the nomination form, the said school agrees for student to participate in all activities surrounding
the 2021 CAEC Youth Tour, March 17. This also certifies the information in this application is accurate to the best of
school's knowledge. This is also an endorsement form the school that implies said student is of high moral standards and a
suitable candidate for the 2021 CAEC Virtual Youth Tour.
School Representative Signature:
Title: Date:
Make sure all necessary documentation is attached. Make sure your essay is attached. If you have any
questions, please contact Kiara Satchell at 1-800-545-5735 ext. 2115 or 334-351-2115 or you can send an e-mail
to communications@coop.caec.com. Mail completed applications to:
CAEC
Attn: Youth Tour
103 Jesse Samuel Hunt Blvd.
Prattville, AL 36066
Entry Deadline: March 1, 2021
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2021 CAEC Virtual Youth Tour Application Form

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Completed 19 February 2021

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