X/TwitterThis field is for validation purposes and should be left unchanged.Applicant DetailsApplicant Name First Last Phone NumberBirth DateGrade YearSchoolApplicant Certification I certify that I have read the eligibility rules and winner requirements. The information contained in this application is true, complete and accurate. I hereby acknowledge that the attached application was prepared and written by me, and I agree to permit the review of this application by members of the Sam Houston Electric Cooperative Youth Tour Committee.Applicant Signature (Full Name)Parent InformationParent(s)/Guardian(s) NamesRelationship to ApplicantSam Houston EC Account # of Parent(s)/Guardian(s)(Required)Phone NumberEmail Address Receiving Service from Sam Houston EC(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Parent Acknowledgement(Required) I understand that above-named student is competing to win a 10-day, all-expense paid trip to Washington, D.C., June 15 to 23, 2027, sponsored by Sam Houston Electric Cooperative, Inc. I further acknowledge that I am a Sam Houston Electric Cooperative, Inc. member, and the above named student is my child or ward and is living in my home. In the event that they are selected to be a Youth Tour winner, I grant unrestricted permission for my child/ward’s name, image, and likeness to be used in print, video and digital media without payment or any other consideration. I agree that these images may be used by Sam Houston Electric Cooperative, Inc. for a variety of purposes and that these images may be used without further notifying me.I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child or ward appears. Additionally, I waive any right to royalties or other compensation arising or related to this authorization.I hereby hold harmless and release and forever discharge Sam Houston Electric Cooperative, Inc. from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other person acting on my behalf or on behalf of my estate have or may have by reason of this authorization.I have read this release before signing below and I fully understand and agree to the contents, meaning, and impact of this release.Application MaterialsEssay Format & Topic(Required)The top applicants will be chosen based on the merit of the essays they submit. This includes demonstrating an understanding of the subject matter, originality, composition, grammar and neatness. The top 6 applicants will then be contacted for a personal interview. The essays should be typed, no more than 500 words in length, 12-point font and double spaced. Applicants’ essays will be judged anonymously. Essay 1: Answer the question: What is the greatest issue facing your community and how can you be a part of the solution? Essay 2: Please summarize why you wish to go to Washington D.C. Drop files here or Select files Max. file size: 100 MB, Max. files: 2. Extracurricular & Community ActivitiesHonorDate Received Add RemoveList any school-related clubs, activities and achievements:ActivityDatesResponsibilities Add RemoveList any community clubs, activities, or achievements:ActivityDatesResponsibilities Add RemoveList any hobbies/recreational activities:Applicant Photo(Required)Include a high-resolution photo of the applicant. Max. file size: 100 MB.
