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KOOP Radio Nomination Form For Board and Community Council 2024 Elections
Nomination Form for Board of Directors and Community Council DEADLINE SUNDAY OCTOBER 13,  2024
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Email *
Name: 
*
Address: *
City: *
State: *
Zip Code: *
Phone: *
Please check which seat you are hoping to fill below:
Board of Directors
Community Council
Community Council Community Organizations
Organization Name *
(For community organization seat)
STATEMENT OF MOTIVATION *
In 100 words or less, tell us why you want to serve. This information will be provided to the voters.
BIO *
Please write a short (100-200 words) biography to this form.  This information will be provided to the voters.  
I hereby agree to my nomination noted above and understand the duties as described in the KOOP bylaws. If elected, I will attend the regular meetings and fulfill the duties for my entire term of office. *
Signature:
Date: *
A copy of your responses will be emailed to the address you provided.
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