2023 Government-in-Action Youth Tour application Visit Washington, D.C., the Texas State Capitol and the Bullock Texas State History Museum from June 11-19, 2023, and receive a $1,000 scholarship. Deadline: Jan. 20, 2023 Eligibility requirements To be eligible, students must: Be in the 11th or 12th grade Reside in the home of a parent or legal guardian who is a current Bluebonnet member with an active account and whose primary residence is within the outer boundaries of Bluebonnet’s service area (including city limits that are within those outer boundaries) Participate in the tour to Washington, D.C., the Texas State Capitol and the Bullock Texas State History Museum, June 11 - 19, 2023 Submit a completed application form and brief video (limited to 5 minutes) by 5 p.m. Jan. 20, 2023. Be prepared to attend a personal interview on Monday, Feb. 27, 2023, at 6 p.m. at Bluebonnet’s headquarters, 155 Electric Ave., Bastrop, if selected as a finalist Application Procedures Applications will be considered when Bluebonnet Electric Cooperative has received a completed and signed application by 5 p.m. Friday, Jan. 20, 2023. Fields marked with * are required. Submissions will not process if all required fields are not completed. Applications started cannot be saved and completed later. If you have questions about the applicaiton, please contact Karen Urban by email or phone. GYT application Full name Email address Date of birth Cell phone number? Name of high school? Mailing address Mailing address City/Town ZIP/Postal Code Are your mailing and physical addresses the same? Yes No Physical address Physical address City ZIP/Postal Code County? - Select -AustinBastropBurlesonCaldwellColoradoFayetteGonzalesGaudalupeHaysLeeMilamTravisWashingtonWilliamson Current grade in school? - Select -JuniorSenior Parent(s) name? Bluebonnet account number? SCHOOL AND COMMUNITY SERVICE List up to 10 service activities in which you have been involved at school and in your community. For role in activity, use the following codes: L=led yourself, M= member of group, P=provided primary leadership to group. Judges will focus on the quality of experiences, rather than quantity. School and Community Service Year Activity Role in activity Impact on community or organization EXTRACURRICULAR ACTIVITIES List up to 5 extracurricular activities in which you have been involved at school and in your community. Judges will focus on the quality of experiences, rather than quantity. Extracurricular activities Year Activity Describe activities' impact on your personal development VIDEO SUBMISSION Submit a link to a video with you answering the question: What is the greatest energy issue facing your generation, and how can you be a part of the solution? (5-minutes max) Authentication I agree to permit the review of this application by members of the Bluebonnet Electric Cooperative Government-in-Action Youth Tour Committee and certify the information I've completed above is true and correct. Signature Sign above using your mouse or touchscreen
