AHEC Youth Tour Entry Form

AHEC will sponsor 1 student to attend the Youth Tour trip in June.
The runner-up will attend CYCLE in Jefferson City in July.

1.First Name:(Required.)
2.Last Name:(Required.)
3.Parent/Guardian Names:(Required.)
4.Phone Number (Yours or your parent/guardian):(Required.)
5.Address:(Required.)
6.School:(Required.)
7.Your challenge is to find a creative way to share what you believe makes Electric Cooperatives truly special. Storytelling comes in many forms, including writing, art, poetry, music, film, podcasting, and more. Choose the one that inspires you most, and use it to highlight the qualities, values, moments in history, or the things that you believe make Electric Cooperatives stand out above all others.

Select your entry for this submission.
(Required.)
8.How are you planning to submit your entry:
9.If your entry is a video, audio file, or "other" that requires a link to view it, please provide the link below. Links should be to YouTube, Vimeo, SoundCloud, or Google Drive.