Board Candidate Application Thank you for your interest in serving on the Board of Trustees of Flint Hills REC. Once completed your application will be evaluated and someone will be in touch about the next steps. Name First Last Account Number Contact Information Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Phone Number Is your account is in your name and not a company name or corporation? Yes No Is your primary residence on Flint Hills REC lines? Yes No Have you been employed by the Cooperative in any capacity in the past five years? Yes No Are you employed or own a business that sells energy or a competing form of energy to any Cooperative consumers or to Flint Hills REC? Yes No Are you able to attend at least 75% of all meetings of the Board of Trustees on an annual basis, including both regular (typically 3rd Moday of each month) and special meetings of the board. Yes No Are you closely related to any board trustee or employee of the Cooperative. ("Closely related" means a person who is a spouse, child, grandchild, parent, brother, sister, aunt, uncle, nehew or niece, by blood or by in-law). Yes No Are you serving on any other boards currently or in the past? Yes No If yes, please list: What skills, education, or expertise would you bring to the Cooperative Board?
