2024 Youth Power and Hope Awards Application

2024 Youth Power and Hope Awards Application

Applicant Information

Applicant's First Name *

Applicant's Last Name *

Address Line 1 *

Address Line 2

City *

State *

ZIP *

Grade *

Name of School

WHAT INDIANA ELECTRIC COOPERATIVE IS YOUR PARENT/GUARDIAN A MEMBER OF? (A PARENT/GUARDIAN MUST BE A MEMBER TO APPLY)

If you are human, leave this field blank.