Youth Tour Application Form

The students selected to attend the youth tours must be a current sophomore or junior at the time of application and reside within the district of one of the following schools: Ashland, Cunningham, Fowler, Kiowa County, South Barber, Liberal, Medicine Lodge, Minneola, Satanta, Skyline, South Central, Southwestern Heights or Sublette.

To complete your application, please submit the following electronically. The information must be received by 12 P.M. on December 5, 2024.

Application (below)
Student In Good Standing Form (below)

Student in Good Standing Form

Name*
First Middle Initial Last
Email*
Please list a personal email (not school issued email). Ensure this is an email that you check regularly, we will send correspondence to this address.
Parent/Guardian Name*
Parent/Guardian Phone Number*
Student's Phone Number*
Preferred Method of Contact*
Please select at least ONE option.
- Email
- Phone Call
- Text Message
High School*
Year in School
- Sophomore
- Junior
Physical Address*
Street Address Apt # City State ZIP Code
Mailing Address*
Street Address Apt # City State ZIP Code
Please write a brief (No less than 5 sentences, no more than 7) paragraph describing why you should be selected as a Youth Tour winner.*
Student in Good Standing Form (Required)
Please attach the "Student In Good Standing" form, available above. You may also email the form to rterrazas@southernpioneer.net or mail it to P.O. Box 1177 Liberal, KS 67905
Max. file size: 300 MB.
I certify that this information is true, complete and accurate. I authorize release of information to confirm and/or verify this application. I further authorize release of my name in connection with announcements of Youth Tour awards in the event that I am selected to be a Southern Pioneer Electric Youth Tour recipient.
Digital Signature*
- I understand that checking this box constitutes my digital signature of this form.
Availability*
- I understand this application is for both the Washington, D.C. Youth Tour and the Youth Leadership Camp in Steamboat Springs, Colorado. The Washington, D.C. “Government in Action” Youth Tour will be June 14-20, 2025 and the Cooperative Youth Leadership Camp in Steamboat Springs, Colorado will be July 11-17, 2025.
How did you hear about Youth Tour?*
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.