Board of Trustees Application Form

2. If interested in serving on the Greenville Electric Utility Board, please fill out the form below. Your application will be kept on file for one year for consideration when a vacancy occurs.

   If interested in serving on the Greenville Electric Utility Board, please fill out the form below. Your application will be kept on file for one year for consideration when a vacancy occurs.

4. Personal Information

6. First Name*

7. Last Name*

9. Physical Address*

11. City*

12. State*

13. Zip Code*

15. Mailing Address

    Please provide if different than physical address.

17. City

18. State

19. Zip

21. Home Phone Number*

22. Cell Phone Number*

24. Email Address*

26. Are you in default in the payment of any valid indebtedness or obligation to the City of Greenville?*

    1. Yes
    2. No

28. Are you a qualified elector of the City?*

    1. Yes
    2. No

30. Are you a customer of GEUS, for personal, residential, business or company use?*

    1. Yes
    2. No

32. Are you related to any member of the City Council within the second degree of consanguinity or affinity?*

    1. Yes
    2. No

34. Have you previously served on any City Boards or Commissions?*

    1. Yes
    2. No

36. If yes, please list.

38. Please List Areas of Special Knowledge or Interest

40. Date*
    Date

    Applications will be kept on file for one year from date of application.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field