Board of Directors Application

1. Nomination by Committee

将填妥的申请表提交给金谷电力协会的截止日期为:

5 p.m. 2024年1月17日(星期三)-必须提交的文件包括:
- 填妥并签署的申请表(详情见下文)
- 犯罪记录检查报告(通过佩格路州警办公室获得)

Note: GVEA将逐字逐句公布您的候选人信息. Staff will make no corrections for grammar, spelling, etc. 请确保您提交的信息已经过校对，并以您希望的格式出现.

Next Steps

The Board Secretary, 或其指定人(如秘书是候选人), 指定的GVEA工作人员将审查和审查申请，以确保它们包含所有必需的文件并符合所需的资格.
所有被转介至提名委员会的申请人将会接受地区提名委员会的面谈.

Note: 申请被认为不完整的申请人将由GVEA工作人员联系, using the contact information provided, 为候选人提供机会，在收到通知后三个工作日内提交或重新提交丢失或不完整的文件.

Personal Information

Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Location of Your Primary Residence(Required)

Primary Phone(Required)

Secondary Phone

Email(Required)

Social Media Sites You Maintain

Click the + to add another entry

注:如果提名委员会选择你作为候选人, GVEA只会公开您特别授权的联系信息, which we will confirm with you. 所有其他联系信息将仅由GVEA和提名委员会用于与您沟通.

GVEA Voting District(Required)

How long have you lived in this district?(Required)

GVEA Account Number(Required)

Total length of time as a GVEA member (Number of years)(Required)

How long have you lived in Alaska?(Required)

Members in your immediate family(Required)

Summarize your personal interests/hobbies (50 word limit)(Required)

Professional Information

Employer(Required)

Occupation(Required)

(If retired, former occupation)

Education(Required)

(College degrees, certificates, etc.)

请列出您与GVEA的任何员工或董事会成员有关系，或与您共享住宿

Click the + button to add a new row

Name

Relationship

你是与GVEA签订劳动合同的劳资谈判单位的职员吗?(Required)

Yes

List organizations to which you currently belong. 列出职责、任职和推荐十大正规网赌平台日期(50字限制)(Required)

总结你和/或你的社区推荐十大正规网赌平台特别感兴趣的领域(100字限制)(Required)

你为什么有兴趣竞选GVEA董事会的席位? (150 word limit)(Required)

Conflict of Interest Certification & Disclosure Statement

以下签名的候选人和/或推荐十大正规网赌平台董事会成员(“董事会”).:

Affirms that the Candidate/Board member has received, read and understands the most current version of GVEA’s 利益冲突政策(第13节，附录A，第34页).
Agrees to comply with the Conflict of Interest Policy 2.1.1.
Based upon a good-faith belief, to the best of the Candidate/Board Member’s knowledge, and except fo the material facts disclosed below, 证明候选人/董事会成员目前符合 Interest Policy.
向候选人/董事会成员披露以下有关任何实际或潜在的重要事实 employment, income, competition, 利益冲突政策中提到的利益冲突活动是否会影响候选人/董事对政策的遵守.
同意立即向董事会披露候选人/董事会得知的任何重大事实 Member regarding any actual or potential employment, income, competition, Conflict of Interest activity referenced 在利益冲突政策中，可能影响候选人/董事会成员对利益冲突的遵守 Interest Policy.

您是否知道候选人/董事会成员关于任何实际或潜在雇佣的任何重要事实, income, competition, 利益冲突政策中提到的利益冲突活动?(Required)

Yes

Disclose any actual or potential conflict of interest(Required)

Background Check Report(Required)

候选人负责直接从阿拉斯加州骑警处获得他们的背景调查报告. 每份报告的费用是20美元，通常可以在费尔班克斯佩格路的阿拉斯加州骑警办公室或三角洲交界处的黛博拉街等候时获得, Alaska. 该报告必须与您的申请一起上传，并且需要在申请截止日期前不早于90天.

Max. file size: 300 MB.

请愿书签署表格(只适用于申请人)

Prior to beginning the petition process, 请愿人必须与GVEA工作人员联系，以核实请愿人在其请愿所在地区的GVEA会员身份. Staff will then provide a Petition Signature Form, which has been approved by the Association’s Attorney. 呈请人应计划收取至少25%以上的最低附则要求. Signatures collected may be invalid for several reasons including: Signer not on the account; Wrong district; Both members of a joint account signed – joint accounts qualify as one membership and only one signature will be valid. Contact GVEA staff for these forms.

Max. file size: 300 MB.

Candidate Declaration

Candidate's Electronic Signature (Full Name)(Required)

该字段用于验证目的，应该保持不变.