GridWise Alliance Board of Directors Nomination Form

Name(Required)

First Last

Title(Required)

GridWise Alliance Member Company(Required)

Email Address(Required)

Please use your email address with the domain of your organization / company. Thank you.

Phone Number

Please provide the best phone number at which we can reach you.

Statement of Interest(Required)

Please provide a brief statement explaining why you would like to serve on the GridWise Alliance Board of Directors.

Upload your CV or Resume(Required)

Max. file size: 64 MB.

Upload your Headshot

Max. file size: 64 MB.

Name

This field is for validation purposes and should be left unchanged.