Sumter EMC Youth Leadership Experience
2026-27 Application

Thank you for your interest in the Sumter EMC Youth Leadership Experience. This program gives rising high school Juniors and Seniors the opportunity to develop skills in leadership and networking. In addition to these skills, this program will offer a variety of experiences. These will include leadership activities and trips where students learn rural electrification history and the operation of electric co-ops, both at the local and state levels. This experience will be all-expense paid by Sumter EMC. In addition, each student will be given a $25 Gift Card per session and a polo shirt and/or t-shirt to wear when representing Sumter EMC. The session in February will require each student to dress in business attire.

To apply, students must complete the application by End of Day on May 1, 2026, have Two individual teacher/counselor recommendations submitted, and have your parent/guardian complete the consent form. These documents can be found on our website at www.sumteremc.coop/yle.

The qualifications are:

Rising Junior or Senior for the 2026-27 Academic Year
Attend School within Sumter EMC's Service Territory*
Good Standing within the School System
GPA 2.5 or Higher

*Home-schooled students qualify, but must reside in a home served by Sumter EMC.

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* Applicant Name

Preferred Name

First Name

Middle Name

Last Name

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* Home Address

Street Address

City

State

ZIP Code

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* Contact Information

Email Address

Phone Number

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* Gender

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* Date of Birth

Birthday

Date

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* School Name

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* Grade in 2026-27 School Year

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* Current GPA

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* Counselor Name

First Name

Last Name

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* Counselor Email

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* Parent/Guardian #1

Full Name

Cell Phone

Employer

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* Parent/Guardian #2

Full Name

Cell Phone

Employer

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* Emergency Contact Name (Not Parent/Guardian)

Full Name

Cell Phone

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* Medical Information

List any drug name and dosage of medications you take regularly.

List any medications and/or substances that you are or may be allergic to.

List any illness or condition you have experienced in the last 12 months.

List any medical conditions (diabetes, asthma, seizures, etc.) or problems which may require special care or attention during the sessions.

List any food allergies or dietary restrictions.

Are you covered by Medical Insurance? If yes, please upload a copy of the front and back of your card below.

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* If applicable, upload a copy of the Front of your insurance card.

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* If applicable, upload a copy of the Back of your insurance card.

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* Check this box if you could not upload your Insurance Card. Please email a picture of the front and back to Tonya Jones at 'tonya.jones@sumteremc.com' .

I could not upload my insurance card. I will email the front and back to Tonya.

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* Attendance Commitment and Policy - Please check each box indicating that you agree with each policy.

ATTENDANCE IS REQUIRED AT ALL SESSIONS. Session dates will be provided at the interview.

If an emergency arises, a written request must be submitted to the Youth Leadership Experience Advisor for consideration as to whether the absence is excused.

Students may miss only one full day session and successfully graduate from our program. Participants missing more than one session may be immediately dismissed from the program.

Students are expected to make this program a priority. All schools will be notified with dates and times of activities, requesting each absence to be excused. It is the student's full responsibility to discuss their absence with their teachers PRIOR to the event and make up all missed assignments.

Please answer the following questions, and when necessary, use complete sentences with proper grammar.

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* List 3 school related activities in which you have participated during the last two years.

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* List 3 non-school related activities in which you have participated during the last two years. (community/civic/religious/volunteer/athletic, etc.)

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* What are your career interests?
(Up to 200 Words)

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* What do you believe is the role and responsibility of a community leader?
(Up to 200 Words)

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* Name four characteristics you value in other people.

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* If you could spend one day with a current or past leader, who would you choose and why?
(Up to 200 Words)

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* Describe a time when your actions positively impacted a person, your school, or your community.
(Up to 200 Words)

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* Tell us why you would like to be a part of the Youth Leadership Experience?
(Up to 200 Words)

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* Upload a clear headshot. This picture will be used on our website and social media platforms. It should not include a busy background, other people, or animals.

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* Check this box if you could not upload your headshot. Please email it to Tonya Jones at 'tonya.jones@sumteremc.com' .

I could not upload my headshot. I will email it to Tonya.

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* T-shirt Size

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* Polo Size

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* If chosen as a finalist, can you interview on Monday, May 11, 2026? Click 'Yes' if so, or click 'No' if you have a conflict. If there's a conflict, we will work with finalists for a make-up.

Yes, Monday, May 11, 2026 is good for me.

I will be unavailable on Monday, May 11, 2026, so I will need a make-up date.

Thank you for applying for the Sumter EMC Youth Leadership Experience. We will announce the finalists for interview on or before Wednesday, May 6, 2026.

Sumter EMC
PO Box 1048 | 1120 Felder Street | Americus, GA 31709
229.924.8041
www.sumteremc.coop

Jacob Peed
Community Connections Coordinator
jacob.peed@sumteremc.com
229.924.8041 Ext. 2235

Sumter EMC Youth Leadership Experience 2026-27 Application

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* Applicant Name

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* Home Address

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* Contact Information

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* Gender

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* Date of Birth

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* School Name

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* Grade in 2026-27 School Year

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* Current GPA

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* Counselor Name

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* Counselor Email

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* Parent/Guardian #1

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* Parent/Guardian #2

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* Emergency Contact Name (Not Parent/Guardian)

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* Medical Information

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* If applicable, upload a copy of the Front of your insurance card.

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* If applicable, upload a copy of the Back of your insurance card.

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* Check this box if you could not upload your Insurance Card. Please email a picture of the front and back to Tonya Jones at 'tonya.jones@sumteremc.com' .

Question Title

* Attendance Commitment and Policy - Please check each box indicating that you agree with each policy.

Question Title

* List 3 school related activities in which you have participated during the last two years.

Question Title

* List 3 non-school related activities in which you have participated during the last two years. (community/civic/religious/volunteer/athletic, etc.)

Question Title

* What are your career interests?(Up to 200 Words)

Question Title

* What do you believe is the role and responsibility of a community leader?(Up to 200 Words)

Question Title

* Name four characteristics you value in other people.

Question Title

* If you could spend one day with a current or past leader, who would you choose and why?(Up to 200 Words)

Question Title

* Describe a time when your actions positively impacted a person, your school, or your community.(Up to 200 Words)

Question Title

* Tell us why you would like to be a part of the Youth Leadership Experience?(Up to 200 Words)

Question Title

* Upload a clear headshot. This picture will be used on our website and social media platforms. It should not include a busy background, other people, or animals.

Question Title

* Check this box if you could not upload your headshot. Please email it to Tonya Jones at 'tonya.jones@sumteremc.com' .

Question Title

* T-shirt Size

Question Title

* Polo Size

Question Title

* If chosen as a finalist, can you interview on Monday, May 11, 2026? Click 'Yes' if so, or click 'No' if you have a conflict. If there's a conflict, we will work with finalists for a make-up.

Sumter EMC Youth Leadership Experience
2026-27 Application

* What are your career interests?
(Up to 200 Words)

* What do you believe is the role and responsibility of a community leader?
(Up to 200 Words)

* If you could spend one day with a current or past leader, who would you choose and why?
(Up to 200 Words)

* Describe a time when your actions positively impacted a person, your school, or your community.
(Up to 200 Words)

* Tell us why you would like to be a part of the Youth Leadership Experience?
(Up to 200 Words)