9 — Federal, State, and Provincial Regulatory or other Government Entities 10 — Regional Reliability Organizations and Regional Entities NA – Not Applicable Select each Function in which you have current or prior expertise: Balancing Authority Transmission Operator Compliance Enforcement Authority Transmission Owner Distribution Provider Transmission Planner Generator Operator Transmission Service Provider Generator Owner Purchasing-selling Entity Interchange Authority Reliability Coordinator Load-serving Entity Reliability Assurer Market Operator Resource Planner Planning Coordinator Provide the names and contact information for two references who could attest to your technical qualifications and your ability to work well in a group: Name: Telephone: Organization: E-mail: Name: Telephone: Organization: E-mail: Provide the name and contact information of your immediate supervisor or a member of your management who can confirm your organization’s willingness to support your active participation. Name: Telephone: Title: Email:
9 — Federal, State, and Provincial Regulatory or other Government Entities 10 — Regional Reliability Organizations and Regional Entities NA – Not Applicable Select each Function in which you have current or prior expertise: Balancing Authority Compliance Enforcement Authority Distribution Provider Generator Operator Generator Owner Interchange Authority Load-serving Entity Market Operator Planning Coordinator Transmission Operator Transmission Owner Transmission Planner Transmission Service Provider Purchasing-selling Entity Reliability Coordinator Reliability Assurer Resource Planner Provide the names and contact information for two references who could attest to your technical qualifications and your ability to work well in a group: Name: Telephone: Organization: E-mail: Name: Telephone: Organization: E-mail: Provide the name and contact information of your immediate supervisor or a member of your management who can confirm your organization’s willingness to support your active participation. Name: Telephone: Title: Email:
2016-04_Unofficial_Nomination_Form_Updated_12072016.docx