Youth Tour Application 2023-24 | Eastern Maine Electric Cooperative

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Do you live full-time in a home served by Eastern Maine Electric Cooperative?

Yes

If you aren't sure you can answer "yes" with a clear conscience, check here and explain in the box that opens.

Your Home's Eastern Maine Electric Account Number

Contact Information

Applicant's contact information

Full Name

Phone

Physical Address

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Gender (for rooming purposes)

Date of Birth

What High School do you attend?

What grade will you be in after the upcoming summer?

Please briefly explain why you would like to attend the Youth Tour

Electric cooperatives formed when people and communities worked together to accomplish something for their mutual benefit. Please describe a time when you teamed up with others to do something together that you could not have done on your own.

Please describe any school, extracurricular and/or community action activities with which you are involved

Describe any work experience you have (this can include a part-time job, babysitting, or any other non-academic work)

Describe any work experience you have (this can include a part-time job, babysitting, or any other non-academic work)
	Describe any work experience you have (this can include a part-time job, babysitting, or any other non-academic work)	Item weight

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What is your cumulative high school GPA?

Academic Reference (Teacher, counselor, administrator, or tutor who can speak about your academic progress)

Academic Reference's Full Name

Phone

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Country

Please describe any academic honors and/or awards you have received.

Professional Reference

Not sure what we mean?

Your professional reference is an employer who will be able to confirm any work experience you have described.

Professional Reference
	Professional Reference Name Company Email Phone Address City/Town State/Province ZIP/Postal Code Not sure what we mean? Your professional reference is an employer who will be able to confirm any work experience you have described.	Item weight

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Parent's or Guardian's Contact Information

Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Parent's or Guardian's Contact Information (2)

Name

Company

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Best phone number at which to reach you:

Check this box if you can receive texts at the phone number above

What is your t-shirt size?

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50 MB limit per form.

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