Committee Application I am interested in serving on 100% Clean Renewable Energy Committee Truckee Community Broadband Initiative Committee From This Committee, I Would Like To Be Considered For: (Please Pick Two Options) Technical Expert Agency Partner Lay Member Advocacy/Community Member Full Name First Name M.I. Last Name Suffix Full Address Street Number and Name Unit Number City State/Province/Region Postal/ZIP Code Country Phone Present Employer Occupation Are you a resident of Truckee? Yes No High School, College, Professional, Vocational, or Other Schools Attended. Please Include Major or Field od Study, Dates Attended, Degree and Date of Degree. Please List Any Prior Volunteer Experience, Position or Office Held in Governmental Agency, Civic, or Charitable Organization. Please State Why You Would Like To Become a Member of This Committee and What You Would Hope To Accomplish by Your Participation. Please list any interests and a familiarity with Truckee and the community that may be relevant. Thank you for your interest in serving TDPUD. Please read the following information regarding most Board, Commission, and Committee appointments. All applicants must be over eighteen years of age. Appointment: If appointed to a Board, Commission, or Committee, and designated in the TDPUD's Conflict of Interest Code, you will be required to disclose some financial interests. (Exemptions include: reporting your principal place of residence in Truckee, any real estate two miles outside Truckee limits, and government bonds and mutual funds.) If you have additional investments and financial holdings, information may be obtained from the District Clerk's Office regarding disclosure requirements. Please note that all submitted applications are public information and may be reviewed by any member of the public upon request. I agree that all of the information contained in my responses to the questions on this application are true and accurate to the best of my knowledge. There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
