This page contains a Flash digital edition of a book.
OKLAHOMA ELECTRIC COOPERATIVE Your Touchstone Energy®


Cooperative 2013 Touchstone Energy Leadership Summit Student Application


Student Name _____________________________________ High School __________________________ Mailing Address__________________________ City____________________ State_____ Zip___________ Parent/Guardian Name_______________________________ Emergency Contact Number _____________


I will attend the Touchstone Energy Leadership Summit activities and the OKC Barons Hockey game on January 19, 2013. Student Signature__________________________________________ Date________________________


I will attend only the Touchstone Energy Leadership Summit activities on January 19, 2013. Student Signature__________________________________________ Date________________________


______________________________ (Student’s Name), if selected, has my permission to attend the Touchstone Energy Leadership Summit and, if applicable, the OKC Barons Hockey game on January 19, 2013. (Transportation to and from Oklahoma City can be arranged with your cooperative if needed.) Parent/Guardian Signature ___________________________________ Date________________________


Applicant Information Gender: (circle one) Male Female


Current Grade Level: (circle one) 10th 11th 12th


Age: ______ Date of Birth: ____________ Current GPA: ____________


Hooded Sweatshirt Size: ________ Extracurricular Activities and awards received: ______________________________________________________________________________________ ______________________________________________________________________________________ What are your post-high school plans? ______________________________________________________________________________________ ______________________________________________________________________________________


Reference Information Name: ______________________ Daytime Phone: ____________ Email: _______________________ Mailing Address: ______________________ City: ________________ State: ______ Zip: ____________


Why do you recommend this student be selected to participate in the Leadership Summit? ______________________________________________________________________________________ ______________________________________________________________________________________December 2012 5


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100  |  Page 101  |  Page 102  |  Page 103  |  Page 104  |  Page 105  |  Page 106  |  Page 107  |  Page 108  |  Page 109  |  Page 110  |  Page 111  |  Page 112  |  Page 113  |  Page 114  |  Page 115  |  Page 116  |  Page 117  |  Page 118  |  Page 119  |  Page 120  |  Page 121  |  Page 122  |  Page 123  |  Page 124  |  Page 125  |  Page 126  |  Page 127  |  Page 128  |  Page 129  |  Page 130