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H&W Trustee Application

Below is an application form for the use of those OCEA members desiring to run for election to become a member of the OCEA H&W Board of Trustees. Please complete the form, and then click the “Submit” button. The form will be sent to the proper person at OCEA.

* required information

Candidate Application
H&W Trustees
Application is valid for one election cycle.
Date:*	(mm/dd/yyyy)
First Name:*
Last Name:*
Employee Type:*
Location:*
Job Title:*
Address Line 1:*
City:*
ZIP/Postal Code:*
Home Email:*
Work email:*
Years of County service:*
Years of OCEA Membership:*
Are you an OCEA Rep?:*	Yes No
If yes, how many years have you been an OCEA Rep?:
Previous or present activities in the Orange County Employees Association:*
Other public service, if any:
Service in other organizations (civic organizations, service orgnanizations, etc.):*
Interests, hobbies, projects:*
You will be required to attend regular monthly meetings and special meetings as called. What possible conflicts would you have?:*
Would you be willing to accept an office committee chair on the H&W Trust?:*	Yes No
Explain why you would like to be a H&W Trustee:*