Application for Director "*" indicates required fields Certain qualifications to be eligible to become and remain a Director are set forth in MVEC Bylaws. In addition, statutory and common laws impose certain duties upon Directors. The following questions are designed to ensure you are eligible to be a candidate for Director and to remain a Director if elected.Name* First Last Address of Primary Residence* Street Address Address Line 2 City ZIP / Postal Code Bona fide residents shall be defined as residing at and continuously and materially purchasing electric service at a location within any director district from which the director is elected, or for which he or she is a candidate, for at least nine months each calendar year. Are you a bona fide member and resident of the district from which a candidate is elected, or for which he or she is a candidate?* Yes No In what district do you reside in and receive electric service?* District I District II District III A Director is responsible for, and must actively participate in, oversight of the management of the business and affairs of MVEC. The MVEC Board of Directors is quite active; it is anticipated you will spend approximately 15-25 days annually at meetings of the Board of Directors, general membership, committees, and other organizations. The vast majority of the meetings occur during day time hours Monday through Friday. Unless excused for good cause by the board, a director who is absent from three or more regular meetings of the Board of Directors during any calendar year, may not qualify to remain a director. Are you able to commit that amount of time to be actively involved in the affairs of MVEC?* Yes No Are you in any way employed by or financially interested in an enterprise substantially competing with the Cooperative or any Cooperative-affiliated business?* Yes No Have you, within the past five years, been adjudged to be guilty of a felony?* Yes No Have you been a full-time or part-time employee of the Cooperative within the past three years?* Yes No Possible Conflicts of InterestA "close relative" is defined as person who is by blood, law or marriage (including half, step, foster, and adoptive relations) a child, grandchild, parent, grandparent, or sibling or is a spouse or resides in the same residence.Are you a close relative of an existing director?* Yes No If yes, relationship: Are you a close relative of an existing MVEC employee?* Yes No If yes, relationship: Are you a full-time employee, agent, full-time employer or principal of another director?* Yes No Do you have the capacity to enter legally-binding contracts?* Yes No Affirmation of Director QualificationsI, the undersigned, hereby state and affirm as follows: 1. I am qualified to be nominated, elected, and/or appointed to service as a MVEC Director. 2. I agree to abide by the Articles of Incorporation, Bylaws and Policies of MVEC. I have signed my name hereto on this day:* MM slash DD slash YYYY Signature* Reset signature Signature locked. Reset to sign again Email* Phone*CommentsThis field is for validation purposes and should be left unchanged. Δ
