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CYCLE Application Form
Please fill in all fields below.
You must be a
High School Junior in the HOEC service area
to be considered for sponsorship by HOEC to CYCLE. Applications must be submitted by February 22nd, 2021.
Full Name:
Street Address:
City:
State:
Zip Code:
E-mail Address:
Daytime Phone Number:
Evening Phone Number:
Student Age:
Date of Birth
(MM/DD/YYYY)
:
Sex:
Parent/Guardian Names:
Name of High School:
Counselor/Teacher Names:
High School Phone Number:
High School Fax Number:
Student Grade Point Average:
Favorite School Class/Subject:
Scholastic Activities
List extracurricular activities you are involved in at school. For example: athletics, clubs/organizations, music, student council, etc.
Non-Scholastic Activities
What do you do outside of school? For example: work, hobbies, community service, career interest, etc.
Personal Statement
Explain why you would be an excellent candidate to represent Howell-Oregon Electric Cooperative at the CYCLE conference.
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