2023 Youth Tour Application - Adams Telephone Co-Operative

The Youth to Washington Contest is open to all area high school sophomores and juniors (members and non-members). Up to 34 finalists will travel by charter bus to Youth Day in Springfield on March 29, 2023 (tentative date). During Youth Day, you will tour the Capitol, visit the Abraham Lincoln Museum and meet students from across Illinois.

At the end of Youth Day, after brief interviews, four winners and two alternates will be announced! Winners will travel by charter bus June 16-23, 2023 for an all-expense paid tour of Washington, D.C.

Create lasting memories and friendships during the week-long tour! Visit the Civil War Battlefield at Gettysburg, the National Cathedral, Smithsonian Museums, George Washington’s home, Supreme Court, Kennedy Center, Arlington National Cemetery, the Holocaust Museum, among many other sites.

Application must be submitted no later than Friday, February 17. Submit your application by our early bird deadline of Friday, February 3 and you’ll be entered to win a $25 prepaid debit card!

Name: *

Parent(s) or Guardian(s) Name: *

Address: *

City, State, Zip: *

Home Phone Number:

Cell Phone Number: *

Email Address: *

High School: *

Grade: *

Date of Birth: *

Age: *

How did you hear about the program? *

1. Personal Achievement *

(Include both School and Non-School Activities) Please list your participation in school-related activities, community involvement, religious, jobs, or other non-school related organizations. Include the organization, number of years, special awards, recognition's, accomplishments/remarks.

2. What are your plans after high school? *

What moment in American history do you wish you had been a part of and what would you have contributed? *

4. Cooperatives can provide any needed service such as electric, telephone, water, food, insurance, etc. Explain a benefit of being a cooperative member. *

5. If you win the Youth to Washington program, you may be asked to help promote the program to fellow classmates next year. Describe one way you would promote the program. Be creative! *

6. Why are you applying for the Youth Tour Program? *

By completing and submitting this application, I verify my eligibility to attend Youth Day in Springfield. If chosen to participate as a Youth Day participant, I commit to the trip to Springfield. I also understand that if I should be selected as one of the winners of this contest, I would take the all-expense paid tour of Washington, D.C. Box must be checked by student completing application.

This application and agreement were completed by (please provide name and date):

I hereby give my consent for the above named student to participate in the Youth to Washington contest and take the trip the Washington, D.C. if selected as a winner. Box must be checked by the parent or guardian of the above student.

Parent or guardian's name and date (Must be completed by parent or guardian giving consent): *

reCAPTCHA