Youth Capital Challenge Application
40 youth ages 14‐18 will be selected to participate in the 2017 Challenge. Application must be received by Friday, January 6, 2017. A $30 fee is payable upon selection (a program reimbursement fee of $200 is due if the participant cancels other than for a personal medical emergency). Mandatory program event dates are March 15 ‐ 16, May 15 and July 29, if chosen as one of the top teams. To be eligible for prizes, you must participate on all dates. Independent work over the four month period is expected as teams work with mentors on a community issue and develop a presentation on their chosen topic area. If you have questions, contact Cassie Anderson at 419‐422‐3851, or Ryan Curtis at ryan.curtis@education.ohio.gov.
First Name:
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Last Name:
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Age:
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County:
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Student Email:
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Parent Email:
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School:
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Student Phone:
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Parent Phone:
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Address:
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City:
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State:
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Zip:
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What organization(s) is your family involved in? Check all that apply:
List a reference with their phone number and email address. For example, OSU Extension Educator, FFA Advisor, or Farm Bureau Official.
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Parent/Guardian name(s) & address if different from applicant:
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Essay Questions
Describe what active citizenship means to you using 200 words or less (approx. 1200 characters including spaces).
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Describe the impact attending Capital Challenge could have on you and your community.
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