Application Member Advisory Committee (MAC)

Application – Member Advisory Committee (MAC)

At EnergyUnited, we value the opinions of our members and depend on your feedback to help us reach our goal of going from good to GREAT! We are appreciative of your willingness to participate in one of YOUR cooperative’s Member Advisory Committees.

MAC members will serve 3-year terms on a rotating basis and will meet 3 times per year. Meetings will be held every 4 months in October, February, and June at locations in the Statesville, Lexington, and Cornelius/LKN areas. Additional meetings may be scheduled if necessary. MAC members are encouraged to attend all meetings; although, we realize that unforeseen circumstances may prevent this. In an effort to ensure that each region is adequately represented, terms will be terminated for MAC members who miss 2 consecutive meetings.

We hope that everyone who aspires to be a member of a MAC has the opportunity. There is a maximum of 12 members on each committee in the 3 respective regions; therefore, not all applicants can be selected if we receive a higher number of applications. If you are not chosen to serve at this time, we encourage you to apply again when another position becomes available.

Member Name:

Member Address:

Phone Number(s): Mobile: Office: Home:

Email address:

Account Number(s):

Type of service (residential or commercial):

Is your account(s) with EnergyUnited in good standing?

Are you employed by EnergyUnited or have you ever worked for EnergyUnited?

If yes, please share date(s) of employment.

Are you related to an employee or director of EnergyUnited?

If yes, indicate name and relationship.

Do you work for a vendor or contractor that works with EnergyUnited?

If ‘Yes’, please share name and date(s) working with this vendor or contractor

Have you previously served on an EnergyUnited MAC? If yes, when?

Please select which MAC you are interested in joining:

In your own words, please tell us why you are interested in joining EnergyUnited’s Member Advisory Committee. What specific objectives do you hope to accomplish by representing the co-op membership in your geographic region?

Provide specific examples of how you are actively involved in your community either in a formal or informal leadership role.

Explain how you would obtain feedback from the membership in order to represent their needs and concerns.

Prior to selection of committee members, an EnergyUnited representative may need to contact you for an interview. Please provide the best available day(s) and time(s) for this interview and a contact phone number where you can be reached:

∗Optional:

EnergyUnited’s goal is to establish a Member Advisory Committee that is representative of the diverse nature of our membership in terms of gender, race, ethnicity, economic standing, and geographic representation. All information will be kept confidential.

Please check the appropriate boxes below:

AnnualHousehold income:

By signing below, I certify that all information provided on this application is true and correct to the best of my knowledge:

Click here to enter a date.

Member’s signature Date

Please return this application by mail to EnergyUnited, Attn: Maureen Moore, P.O. Box 1831, Statesville, NC 28687 or via email by scanning a signed version and sending to .

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