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From: Kelly Elam To: Marty Rehbein Subject: FW: Online Form Submittal: Application Form--Greenhouse Gas & Energy Conservation Team Date: Wednesday, August 12, 2009 10:21:59 AM From: [EMAIL REDACTED] [mailto:[EMAIL REDACTED]] Sent: Friday, June 26, 2009 4:18 PM To: Kelly Elam; Nikki Rogers Subject: Online Form Submittal: Application Form--Greenhouse Gas & Energy Conservation Team If you are having problems viewing this HTML email, click to view a Text version. Application Form--Greenhouse Gas & Energy Conservation Team Greenhouse Gas Energy Conservation Team Application Please note: All applications are included in Council packets and are published on the City website. What position(s) are you applying for (check all you are interested in being considered for)?* [ ] Commercial/Institution/Business Sector Representative Industry Representative [ ] Alternate (serves in the absence of another member) Applicant Contact Information: Name:* Ross Keogh Email: [EMAIL REDACTED] Daytime Phone:* [PHONE REDACTED] Alternate Contact Phone: Street Address:* 1289 River Street City, State:* Missoula, MT Zip:* 59802 Mailing Address:* 1289 River Street City, State:* Missoula, MT Zip:* 59802 Applicant Background: Are you a city resident* ( ) Yes No If you answered "yes" to being a city resident, please tell us how long you've lived in the city and what ward you live in: How long immediately prior to today's date have you been a city resident? In which ward do you reside? [Select One Are you a U.S. citizen?* Yes ( ) No Are you registered to vote?* Yes ( ) No Current Occupation:* Analyst Current Employer:* Sagebrush Energy If you'd like, you can attach a resume or other document for the City Council to consider Keogh_Resume.pdf Briefly describe your educational background:* Please see resume List of community service experience:* Please see resume What is your interest in serving on this board, commission, or committee?* I am interested in helping the city of Missoula realize an efficient response to Greenhouse Gas Emissions and participate in civic service. Do you have any special knowledge, interest, or experience that would qualify you for a position on this board, commission, or committee?* ---PAGE BREAK--- As a member of the renewable energy industry I bring an intimate understanding of a variety of Green House Gas and electrical issues to the table. Specifically: Green Tags and Renewable Energy Credit Markets, electrical interconnection, Utility conservation programs, and the MT Public Service Commission. I also have business relationships with senior staff at NorthWestern Energy and Western Montana Electric G&T Cooperative. References: Please provide two personal references. Reference 1 Name:* Thomas France Phone:* [PHONE REDACTED] Address:* NWF 240 N. Higgins City, State:* Missoula, MT Zip:* 59802 Reference 2 Name:* Senator Dave Wanzenreid Phone:* [PHONE REDACTED] Address:* 903 Sky Drive City, State:* Missoula, MT Zip:* 59804 If you'd prefer, you can mail or delive your completed application and attachments to: City Clerk Office 435 Ryman St. Missoula, MT 59802 * indicates required fields. The following form was submitted via your website: Application Form--Greenhouse Gas & Energy Conservation Team What position(s) are you applying for (check all you are interested in being considered for)?: Industry Representative Name:: Ross Keogh Email:: [EMAIL REDACTED] Daytime Phone:: [PHONE REDACTED] Alternate Contact Phone:: Street Address:: 1289 River Street City, State:: Missoula, MT Zip:: 59802 Mailing Address:: 1289 River Street City, State:: Missoula, MT Zip:: 59802 ---PAGE BREAK--- Are you a city resident: No How long immediately prior to today's date have you been a city resident?: In which ward do you reside?: Select One Are you a U.S. citizen?: Yes Are you registered to vote?: Yes Current Occupation:: Analyst Current Employer:: Sagebrush Energy If you'd like, you can attach a resume or other document for the City Council to consider: Keogh_Resume.pdf Briefly describe your educational background:: Please see resume List of community service experience:: Please see resume What is your interest in serving on this board, commission, or committee?: I am interested in helping the city of Missoula realize an efficient response to Greenhouse Gas Emissions and participate in civic service. Do you have any special knowledge, interest, or experience that would qualify you for a position on this board, commission, or committee?: As a member of the renewable energy industry I bring an intimate understanding of a variety of Green House Gas and electrical issues to the table. Specifically: Green Tags and Renewable Energy Credit Markets, electrical interconnection, Utility conservation programs, and the MT Public Service Commission. I also have business relationships with senior staff at NorthWestern Energy and Western Montana Electric G&T Cooperative. Name:: Thomas France Phone:: [PHONE REDACTED] Address:: NWF 240 N. Higgins City, State:: Missoula, MT Zip:: 59802 Name:: Senator Dave Wanzenreid Phone:: [PHONE REDACTED] Address:: 903 Sky Drive City, State:: Missoula, MT ---PAGE BREAK--- Zip:: 59804 Additional Information: Form submitted on: 6/26/2009 4:18:19 PM Submitted from IP Address: 72.174.22.110 Form Address: http://www.ci.missoula.mt.us/forms.aspx?FID=102