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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.
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