The current application period is open. Applications must be submitted by July 31, 2023. Name(Required) First Last GVEA Account Number Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code District Number(Required)(Printed on your billing statement) How would you like GVEA to contact you?(Check all that apply) Home Phone Work Phone Cell Phone Email Home Phone(Required)Cell Phone(Required)Work Phone(Required)Email(Required) Statement of Interest(Required)Please explain why you're interested in applying for the MACBrief Bio Statement(Required)What interests, skills, or qualifications do you have that would make you an asset to the MAC?Goals of the Member Advisory Committee The MAC was formed by and for the GVEA Board of Directors to pass along members’ desires and concerns for the Cooperative and to carry out tasks set by the GVEA Board. Goals include, but are not limited to: matters of legislation, bylaws, policies and procedures. MAC members are required to have access to and competence in electronic communication, including email, video conferencing via smart devices and telephone.Consent(Required) I have read the goals of the MAC, I meet the electronic communication requirements, I am a GVEA member in good standing and I agree to be an active participant on the committee.Electronic Signature (Full Name)(Required) PhoneThis field is for validation purposes and should be left unchanged.