Youth Camp/Tour Application

Applicant Name

Home Email

Cell Phone

Mailing Address

Physical Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Name of High School

Current Grade in School

Sophomore

Junior

Senior

Parent/Guardian

Parent/Guardian's Email Address

Name on Highline Account

If same as parent/Guardian, please skip.

Which trip is your first choice to attend?

Washington D.C. Youth Tour (June 16-22, 2027)

Cooperative Youth Leadership Camp (July 10-15, 2027)

Special activities in which you have participated:

What offices have you held in which organizations?

List honors you have received:

What are your hobbies, talents and special interests?

What are your future plans?

Essay: See prompt above. You may paste in the box below from your editor.

In 350 words, answer the essay question above. There is no right or wrong answer.

Letter of Reference

Attach one letter of reference from a teacher, counselor or employer.

One file only.
20 MB limit.
Allowed types: txt pdf doc docx ppt pptx odp xls xlsx ods.

Photo Upload

Please upload a picture that may be used in marketing to recognize selected delegates.

One file only.
20 MB limit.
Allowed types: gif jpg jpeg png.