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Workforce Development Board Nomination Form

  1. Please check one:
  2. Representation – Complete One Section (1, 2, or 3) relevant to the category that you represent. All applicants must hold optimum policy-making authority or optimum hiring authority.
  3. Please check one identifer:
  4. Category 1: Business Representative
    A. Select one of the following Roles that you fulfill:
  5. B. Select one of the following Business Types that you represent.
  6. F. Select Organization Type nominating you.
    *Association type must be affiliated with the in-demand industry represented by your business.
  7. Category 2: Workforce Representative
  8. A. Select one or more of the following Organization Types that you represent.
  9. B. If you selected Registered Apprenticeship Program, select one of the following roles that you fulfill.
  10. Category 3: Other Representative
  11. A. Select one of the following Organization Types in which you have optimum policy-making authority.
  12. Additional Information:
  13. Coconino County WDB Related Questions
    Please answer the following questions by attaching additional pages:
  14. 2. Membership on the Coconino County WDB requires that each member attend a full WDB meeting every quarter, attend training sessions for board members and become an advocate for workforce development. The time commitment for these activities ranges from 4 to 6 hours per month. Can you make this time commitment?
  15. 3. Serving on a subcommittee of the Coconino County WDB is strongly encouraged. The time commitment for this activity ranges from 3 to 4 hours per month. Can you make this time commitment?
  16. Additional Required Documentation:
  17. ◼ Nomination Letter: Please include a letter from a senior executive of the nominating organization you listed above in your category of representation.
    ◼ Current Resume.
  18. Signature and Acknowledgement:
  19. I, the undersigned, certify that the information on this application is true and correct to the best of my knowledge and that, if appointed to serve, I will do so to the best of my ability and in the best interest of Coconino County and its citizens.
  20. Leave This Blank:

  21. This field is not part of the form submission.