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Board of Directors Application
Board of Directors Application
Glenwood Telephone Membership Cooperative Board of Director Application
Glenwood Telephone Membership Cooperative Board of Director Application
PERSONAL INFORMATION
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Are you a current GTMC Member?
*
Yes
No
GTMC Membership Number
Are you related to any current GTMC employee or board member?
*
Yes
No
Which Exchange are you applying for?
*
Bladen
Blue-Hill-Town
Blue-Hill-Rural
Campbell
Funk
Norman/Upland
Roseland/Holstein
EDUCATION
High School
College
Major
Advanced Degree(s)
Certification(s)
EMPLOYMENT
Current Employer
Supervisor
QUALIFICATIONS
Previous Boards/Groups
Explain why you want to be a GTMC Board Member
BUSINESS REFERENCES
Name
Contact Number
Name
Contact Number
Name
Contact Number
PERSONAL REFERENCES
Name
Contact Number
Name
Contact Number
Name
Contact Number
SIGNATURE
Signature
*
Please type your full name to represent your digital signature.
Date
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