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District 4 People Fund Representative Application
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District 4 People Fund Representative Application
First Name
Last Name
I am a current resident in good standing with the cooperative of District 4 (Huntington, Penfield, and Wellington townships in Lorain County).
Address
City
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Email Address
Cooperative History
How long have you been an LMRE member?
Employment
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Title
Years of Service
Community Involvement
Short Answer
In FIVE SENTENCES OR LESS, please answer the following questions.
What does being a member of a cooperative mean to you?
Why are you interested in representing District 4 on the LMRE People Fund board?
If selected, I will be able to attend four evening meetings, scheduled in January, April, July, and October, as part of my commitment to the LMRE People Fund.
Applicant's Signature
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Date