EATRAN Application For Membership Local Advisory Council (LAC)
We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status. EATRAN is an equal opportunity employer.
Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Middle Name *
Street Address *
State *
Zip Code *
Township *
Home Phone *
Work Phone *
Email *
Employer  *
Job Title *
Years Of Service *
Please check if you are a Member (or represent) one or more of the following groups:
Senior Citizen (60+)
Clear selection
Persons With Disabilities
Clear selection
Other
Clear selection
Other: Please Explain
Describe why you are interested in serving on the Local Advisory Council:
 *
Please list any goals, projects, or ideas you may have about the EATRAN Local Advisory Council:
 *
List other Community Boards, Committees, or Activities you have served on or been involved with (list committee and position):
 *
Have you ever used the EATRAN system?  *
The LAC meets the 2nd Thursday of February, May, August, and November at 11:00 a.m. Are you willing to make a commitment to attend all these meetings?
 *
List any special skills or qualifications:
 *
Click the submit button to submit your application. Contact Donna Webb - EATRAN General Manager if you have any questions.

916 E. Packard Hwy Charlotte, MI 48813 
Phone: 517-543-3040, 517-331-3312
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms