Kootenai Electric Trust Board Application Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP/Postal Code

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Number of years you have lived in this community(Required)

Number of years you have been a member of KEC(Required)

Relevant experience and/or employment(Required)

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Why are you interested in serving on the Trust Board?(Required)

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Area(s) of expertise/contribution you feel you can make(Required)

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Other volunteer commitments(Required)

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Reference #1

Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP/Postal Code

Reference #2

Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP/Postal Code

Reference #3

Name(Required)

First Last

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP/Postal Code

Optional: Upload your resume

1 file only.

Accepted file types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg, Max. file size: 20 MB.

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