LinkedInThis field is for validation purposes and should be left unchanged.ICUA Youth Rally Application FormAcknowledgment of Terms(Required)I am aware that as a contestant, I am required to submit a 400 word essay on the subject “An accomplishment I have experienced and how it has impacted my life.”, and that the essay, biographical information sheet and this completed form must be received at Idaho County Light & Power Cooperative’s office April 16, 2026. I am aware that the selection of winners will be based on total scores from the essay and a personal interview and that only the top eight applicants based on essay scores will receive an invitation for an interview. I agree that, if selected, I will be available to attend the 2026 ICUA Youth Rally at Northwest Nazarene University, in Nampa Idaho on July 6-10th. I am aware that, in attending the Rally, I will be eligible for selection as the Idaho representative to the National Rural Electric Cooperative Association’s National Youth Tour in Washington, D.C. I agree that, if selected to be a Youth Representative for Idaho County Light & Power Cooperative, I will attend and assist at the Annual Membership Meeting of the Cooperative on November 5, 2026. I agree to the terms of this agreement.Applicants Name(Required) First Last Applicants Phone Number(Required)Do you receive texts at this number Yes No Year you graduate from High School(Required)Applicants Age(Required)Applicants Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicants Signature(Required)This field is required for Federal e-Signature Captures.Acknowledgement of Terms Signature Date(Required)This field is required for Federal e-Signature Captures MM slash DD slash YYYY Parent/Guardian InformationName of Parent/Guardian(Required) First Last Name of Parent/Guardian First Last Parent/Guardian Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone(Required)Work PhoneConsent(Required)I/We, the above named parent(s)/guardian(s), have read and understand the general rules of the competition and this application. I agree to the terms of this agreement.Parent/Guardian Signature(Required)This field is required for Federal e-Signature Captures.Acknowledgement of Terms Signature Date(Required)This field is required for Federal e-Signature Captures. MM slash DD slash YYYY Relationship to Applicant(Required)Biographical InformationMajor Study Interest(s)(Required)List School & Community Activities (sports, clubs, hobbies, etc.)(Required)Career Goals and/or Future Plans(Required)Why do you want to be selected to go to Youth Rally?(Required)If selected for the Idaho Consumer-Owned Utilities Association 2026 Youth Rally, you will be representing your co-op as part of the statewide delegation. From this delegation, one student will be chosen to attend the Washington, D.C. Youth Tour in June of 2026. Would you like to be considered to represent Idaho on the 2026 National Youth Tour in Washington, D.C.?(Required) Yes No Upload Essay(Required)Please upload your 400 word essay on the subject “An accomplishment I have experienced and how it has impacted my life.”Max. file size: 50 MB.
