Foundation for Rural Service

2017 Youth Tour to Washington D.C.

June 3-7, 2017

Program Information & Application All Expense Paid Trip to Washington, D.C. Includes: airfare, food, lodging, activities, & transportation

Sponsored locally by Foundation for Rural Service 2017 Youth Tour to Washington, D.C. Sponsored Locally by NCTC, Your Membership Cooperative Trip Date: June 3-7, 2017 Application Deadline: Monday, March 10, 2017 Eligibility Applicant’s parents must be NCTC members for at least one year, and family must reside full-time in the cooperative’s service area. Two area high-school students will be sponsored this year. Other Program Requirements 1. Be a high-school student living full-time in NCTC’s service area. 2. Have at least a 3.25 GPA. 3. Must be 16 or 17 at time of trip and not turn 18 before June 3, 2017. 4. Exhibit demonstrated leadership in school activities. 5. Exhibit demonstrated interest in community service through volunteer activities. Application Requirements 1. Complete a Youth Tour Application. 2. Include with your application a brief interest letter, which states why you would like to attend and what your plans are beyond high school. 3. Include a recent school photograph (2 1/2” by 3 1/2” to remain the property of the Cooperative) or similar of yourself for the Youth Tour Booklet. 4. Include with your application a letter of recommendation from a teacher or school official. 5. Write an essay of up to 500 words typed that addresses the following topic: “Understanding Telephone Cooperatives: Past, Present, & Future” 5. Return these items to NCTC’s main office in envelope addressed NCTC - Washington D.C. Trip in person during business hours @ 872 Hwy 52 By-pass E, Lafayette, TN OR by mailing to PO Box 70, Lafayette, TN 37083 Transportation Arrangements In addition to full sponsorship of the tour for two students which includes hotel, all meals, and costs for all scheduled events, NCTC will pay the airfare to and from Washington, D.C., from the Nashville airport. Transportation to the airport will be provided if needed. Additional Information One NCTC employee will act as chaperone for the trip. You can go to www.frs.org and select “youth tour” to find out more information. Selection Process Each applicant will be awarded points based on each area; points will be totaled for scoring. In the case of a tie, an interview may be conducted with each of the qualifying applicants. Maximum points possible in each category is as follows: demonstrated leadership - 15, community service - 15, completion of application process - 10, letter of interest - 10, recommendation letter - 10, essay - 40. Winners will be notified by April 4, 2017. 2017 Youth Tour Application Sponsored by the Foundation of Rural Service & NCTC June 3-7, 2017

Please type or print legibly. Home Telephone No. ______High School ______County of Residence ______

Name ______Last First Middle

Address ______Street Box City State Zip

Age ______Date of Birth ______Sex: M___ F_____ Married ____Single______

Father’s Name ______Living _____ Deceased ______Last First Middle

Mother’s Name ______Living _____ Deceased ______Last First Middle

In the event you are selected, how would you want your parents’ names listed?

______

Year in school: ______GPA ______

Academic and School honors received: ______

______

Student Clubs/Organizations: ______

______

Special interests, hobbies, or talents: ______

______

Volunteer/Community Activities while in High School: (May list specific hours and activities on an additional page) ______

Applicant Certification Continued on Back I hereby certify that the information on this application is complete and correct to the best of my knowledge. I hereby grant NCTC permission to contact applicant’s name school, if necessary, and to use applicant’s name name and photograph in promotional materials and/or on NCTC’s website in the event I am selected to receive a sponsorship. I understand that if selected a parental release form, medical consent form, and delegate conduct form must be signed prior to trip.

Signature of Applicant ______Date ______

Signature of Parent or Legal Guardian ______Date ______

Grade Certification I hereby certify that applicant’s name has a 3.25 GPA or higher as of January 1, 2016.

Printed Name of school official ______

Signature of school official ______Date ______

Include the following with this Application • Brief letter of interest stating why you would like to attend the Youth Tour and your plans beyond high school • Typed essay of up to 500 words on “Understanding Telephone Cooperatives: Past, Present, Future” • Letter of recommendation from a high school teacher or other school official • Recent school photograph, or similar, of yourself for the Youth Tour Booklet

All applications and required papers must be turned in to NCTC no later than Monday, March 10, 2017.

Please put everything in a sealed envelope addressed as follows:

NCTC - Washington D.C. Trip PO Box 70 Lafayette, TN 37083

You may put in the mail or drop it off during normal business hours at the main office located at: 872 Hwy 52 Bypass East, Lafayette, TN 37083

Applicants will be notified by April 4, 2017.

Any questions should be emailed to: [email protected]