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Co-op Youth Ambassador Application
Name
First Name
Last Name
High School
Contact
Email
Phone
Address
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State/Province
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Alabama
Alaska
American Samoa
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Federate States of Micronesia
Florida
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Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
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Maryland
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Mississippi
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Ohio
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South Carolina
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Tennessee
Texas
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Washington
West Virginia
Wisconsin
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ZIP/Postal Code
Parent Info
Parents or Guardians
Parent/Guardian Email
Parent/Guardian Phone
Sweatshirt Size
Any medical condition(s) we should be aware of?
I want to be a Youth Ambassador because:
I agree to the following:
As the participating student, by hitting submit I agree to follow these rules: I will remain in the designated areas of all activities and will not leave the premises unless arrangements are made with the Riverland Energy staff and my parents. I understand that no alcoholic beverages or any illegal substances will be allowed. I understand that Riverland Energy may take photographs of participants and activities. I agree that Riverland Energy shall be the owner of and may use such photographs relating to the promotion of future programs. I relinquish all rights that I may claim in relation to use of said photographs. I understand that due to Covid-19, this program will be modified to provide a safe environment for students and may be canceled at any time.
Submit
Home
Outage Center
My Account
Account Management/SmartHub
Billing Q & A
Capital Credits
Energy Assistance
Payment Options
Update Contact/Billing Information
Moving/Change Address
Electric Service
New Membership
New Construction
Rates, Fees, & Deposits
Diggers Hotline
Stray Voltage
Vegetation Management & Right-of-Way
Member Center
Dual Fuel Program
Electric Safety
Energy Audits
Energy Efficiency Resources
Grassroots/Legislative
Load Management
Newsletters
Rebates
Renewable Energy/Solar
Safety First! Farm Rewiring Program
Community
Community Cares
Scholarships
Youth Ambassador Program
Economic Development
Donations and Sponsorships
Safety Demonstrations
About Us
About Riverland Energy Cooperative
Board of Directors
Careers
Cooperative Principles
Statement of Non-Discrimination
Touchstone Energy Cooperatives