Step 1 of 3 33% LinkedInThis field is for validation purposes and should be left unchanged.Student Name(Required) First Last Email(Required) School(Required)Parent/Guardian Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required) The 60-Second Power Pitch ⚡Record a 30–60 second video answering one of the leadership questions below. Your video can be recorded using a phone, tablet, or computer. Instead of uploading the video to this application, please provide a link to your video below. Videos may be shared using a link from platforms such as YouTube, Google Drive, Dropbox, or another video-sharing service. If you prefer, you may also email your video directly to jennifer.boeck@peopleselectric.coop.Question Selection(Required)What does leadership mean to you?Tell us about a time you helped a team succeed.If your community lost power, how would you help others stay calm and work together?What qualities make someone a great leader?Which question are you answering in your Power Pitch video?Link to your Power Pitch Video(Required)Please ensure your video sharing settings allow access without requiring special permissions. (If you choose to email your video instead, please type “emailed” in the "Link to your Power Pitch Video" field above.)Anything else you'd like us to know about you?Letter of Recommendation(Required)Max. file size: 256 MB. Upload a letter of recommendation from a teacher, community member, or other adult who knows you well (this person must not be a relative). Parent/Guardian AcknowledgementBecause applicants are minors, a parent or guardian must review and acknowledge the following before submitting the application.Parent/Guardian Name(Required) First Last Parent/Guardian Email(Required) Parent/Guardian Phone Number(Required)Consent(Required) I confirm that I am the parent or legal guardian of the applicant and give permission for them to submit this application.I acknowledge that my student is applying to participate in the People’s Electric Cooperative Co-Op Leadership Challenge and that they are submitting a short video as part of the application process. I understand that the video submission will be reviewed by PEC staff for the purpose of selecting participants for the program. By submitting this application, I give permission for my student to participate in the application process and for their video submission to be viewed by PEC staff. I also grant permission for People’s Electric Cooperative to use my student’s submitted video, name, and likeness for promotional or educational purposes related to this program, including use on PEC’s website, social media platforms, and other cooperative communications. If selected, I understand that additional permission forms, including media and participation releases, may be required prior to the event.
