2025 Page Day Application - Indiana Electric Cooperatives

This program is open to any Indiana high school student. Please note there are limited spots available and they will be filled on a first-come, first-served basis.
Please contact Karlee Gable, 317.408.7903, KGable@IndianaEC.org, for additional information. You will receive a confirmation email once your registration is submitted.

Applications are due Jan. 7, 2025. Highlights include a Statehouse tour, mock bill activity, and the opportunity to see the Indiana Legislature in action.

Page Day will take place at the Indiana Statehouse in Indianapolis, on Jan. 28, 2025. Please note that students must arrange their own transportation to and from Indianapolis in order to participate. Parking information will be provided.

Student Information

First Name *

Last Name *

Email *

Mobile *

Age

High School *

Grade *

Home Address

City

State/Province

Zip/Postal

Please upload a current headshot of the student.

Maximum file size: 209.72MB

If you have issues uploading your headshot, please email your photo to KGable@IndianaEC.org upon completion of your application.

Cooperative *

(If the registrant is not a member of an REMC please indicate by selecting "Not an REMC Consumer")

Other Information

Have you attended a previous Page Day with Indiana Electric Cooperatives?

Yes

No

This does NOT affect your eligibility for this year's page day.

In 1-2 sentences, describe your motivation to participate in Page Day and what you hope to learn or take away from the experience.

Parent / Guardian Information

First Name *

Last Name *

Relationship to Student * Relationship to Student

Mobile *

Email Address *

Emergency Contact Information (other than parent / guardian listed above)

List a contact other than parent / guardian listed above.

First Name *

Last Name *

Relationship to Student * Relationship to Student

Mobile *

Medical Information

Please list any medical information we should be aware of including insulin-dependent diabetes, cardiac situations, asthma, seizure disorders, mental health conditions, autism spectrum and food allergies.

State Legislators

Visit Find Your Legislator to complete these fields. It is very important that these are correct. Even if you think you know your state legislators, you must use the link to verify.

State Senator First Name *

State Senator Last Name *

State Representative First Name *

State Representative Last Name *