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KOOP Radio Nomination Form For Board and Community Council 2017 Elections
Nomination Form for Board of Directors and Community Council
Name:
Your answer
Address:
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
Phone:
Your answer
Email:
Your answer
I am a US Citizen
Board of Directors
Community Council
Organization Name
(For community organization seat)
Your answer
STATEMENT OF MOTIVATION
In 100 words or less, tell us why you want to serve. This information will be provided to the voters.
Your answer
BIO
Please write a short (100-200 words) biography to this form. This information will be provided to the voters.
Your answer
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:
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Date:
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