Youth Tour Submission Form

Thank you for your interest in the Rural Electric Youth Tour sponsored by Claverack Electric. The dates for the 2026 Youth Tour are June 15-20.

Be sure you have read and understand all the details and deadlines regarding the trip: CLICK HERE.

Complete the web form as instructed below and submit by 4 pm on Monday, February 9, 2026. If you have any questions or concerns, please call the office at 1-800-326-9799 and ask for Karen Evangelisti.

Student Information

Full Name

Email

Student Phone #

Address

Address 2

City/Town

State

ZIP

Age

Birthdate

Parent/Guardian Name(s)

Claverack Account Number

Parent/Guardian Phone #

Additional Information

School Name

School Address

Address 2

School City/Town

School State

School ZIP

Major Study Interest

Career Goal

State Representative

State Senator

U.S. Representative

How did you hear about Youth Tour?

What do you hope to achieve on this trip if selected?

If selected to participate in Claverack's Youth Tour program, I would like to be considered for the Youth Leadership Council position. Please read the information below.

One student may be selected from Claverack's group to apply for the Youth Leadership Council (YLC) based on this application and video submission.

Each Pennsylvania cooperative chooses a representative, and interviews are conducted at the beginning of our tour in Washington, D.C. One student is then selected to represent Pennsylvania at the YLC Conference held in Washington, D.C., at the NRECA Annual Meeting, and as a Junior Youth Tour Chaperone the following year. More information can be found at https://www.electric.coop/our-organization/youth-programs/youth-leadership-council.

If you would like to be considered for this position, please check the box above.

Activities and Achievements

High School Activities

List activities you have participated in and years of involvement, as well as any leadership roles or special honors you have received during high school (class officer, plays, music, athletics, clubs, etc.)

Public Speaking Experience

List any public speaking experience you may have.

Community or Civic Involvement

List any extracurricular activities and years of involvement in which you have participated (4-H, church, community and service clubs, etc.)

Special Interests or Hobbies

List any interesting facts about yourself.

Who has influenced you the most during your lifetime?

If you opened your own business, what type of company would it be and why?

Submission Requirements

Video Link Address:

For video requirements, please refer to the 2026 Youth Tour Details.

School Photo

4x6 or 5x7 high resolution jpg image or scanned photo at high resolution of 300 dpi or above.
One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.

Please note that information submitted here may be used by Claverack Rural Electric Cooperative and Pennsylvania Rural Electric Association for educational and promotional purposes.