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Director Candidate Application

WHITEWATER VALLEY RURAL ELECTRIC MEMBERSHIP CORPORATION

Director Candidate Application

Please complete this form and submit by November 1 or by the date of the nominating committee meeting whichever is later in order to be considered as a candidate for the Board of Directors. 

All information will be treated as confidential and for the sole purpose for which it was submitted. Criminal background checks may be completed for all Board of Director Applicants and Board Nominees. By signing and submitting this Application, the undersigned consents to allow Whitewater Valley REMC to complete a criminal background check for the undersigned Applicant. 

Name
Name
Address
Address
City
State/Province
Zip/Postal

Please refer to Attachment #2a Director Candidate Information Sheet which includes the Cooperative Bylaws Article IV Section 3 Qualifications of Directors. 

Are you a member in good standing (not past due) with this REMC?
Service Address
Service Address
City
State/Province
Zip/Postal

Please provide a listing of your educational background: 

Have you ever had a criminal conviction that has not been expunged, excepting misdemeanor traffic offenses?
Have you, or any entity in which you have held a controlling interest, ever filed a bankruptcy petition that resulted in a loss to this REMC?
In addition to the questions above do you meet ALL the Qualifications of a Director as stated in Article IV, Section 3 of the Cooperative’s Bylaws?

Do you have any experience on other boards or committees such as school boards, hospitals, churches, etc., that you think should be considered in your qualifications? If so, please list. 

Still Serving?
Still Serving?
Still Serving?
Still Serving?
Board information is shared electronically via email and apps. Do you have Internet access and proficiency checking and sending email?

Board membership requires time for meeting preparation; board meeting attendance; attendance at state, regional, and national meetings; and board training and education programs to help board members remain effective in their position. Directors average 20 hours per month on cooperative business. How difficult will it be for you to find time for: 

Prepare for and attend monthly board meetings; usually in the evening lasting 2-3 hours?
Occasional day meetings or educational training locally or in Indianapolis with at least one month's notice?
Possible board committee meetings, usually evening lasting 1-2 hours with one or two weeks' notice?
Optional two and three-day seminars or meetings anywhere in the U.S. with usually several months’ notice?

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