Board and Supervisory Committee Application

Background screenings, including credit and criminal history checks, are a requirement for selection.

Please note: While you can apply anytime, there are currently no positions available, and applicants may not be contacted by the Nominating Committee until there are open positions or before the next Annual Member Meeting.

First Name:

Last Name:

Address:

City:

State:

ZIP Code:

Home Phone Number

Work Phone Number:

Email:

I am interested in serving on

Supervisory Committee Board of Directors Wherever needed

Please explain your interest in serving on the Board:

Briefly provide your background and/or experience:

List your skills and/or talents that you would like us to know about:

What is your O Bee Account Number:

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