Select each Industry Segment that you represent: 1 Transmission Owners — 2 RTOs, ISOs — 3 Load-serving Entities — 4 Transmission-dependent Utilities — 5 Electric Generators — 6 Electricity Brokers, Aggregators, and Marketers — 7 Large Electricity End Users — 8 Small Electricity End Users — 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 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:
Select each Industry Segment that you represent: 1 — Transmission Owners 2 — RTOs, ISOs 3 — Load-serving Entities 4 — Transmission-dependent Utilities 5 — Electric Generators 6 — Electricity Brokers, Aggregators, and Marketers 7 — Large Electricity End Users 8 — Small Electricity End Users 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 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:
2017-06_BAL-002_Unofficial_Nomination_Form_07272017.docx