CPS ENERGY BOARD OF TRUSTEES APPLICATION PROCESS
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1 CPS ENERGY BOARD OF TRUSTEES APPLICATION PROCESS PLEASE NOTE: INFORMATION WITHIN THE FILE MAY BE SUBJECT TO DISCLOSURE UNDER THE TEXAS PUBLIC INFORMATION ACT. THIS MEANS THAT ANYONE REQUESTING COPIES OF THE INFORMATION IN YOUR FILE OR REQUESTING TO VIEW YOUR FILE MAY BE ABLE TO DO SO. 1. Application Process Every candidate seeking appointment to the CPS Energy Board of Trustees must complete the following Application and submit via to by close of business on December 15, The Acknowledgment and tice portion of the Application must be signed before a candidate can be considered for an appointment. A current resume should be submitted along with the completed Application form. 2. Interview Scheduling If you are chosen to be individually interviewed, please be aware that your availability for the interview is very important. Interviews will be scheduled with as much advance notice as possible, but under certain circumstances, no more than a few days notice may be given. 3. Letters of Recommendation A letter of recommendation is not required. However, if you are chosen for an interview and there are people who would like to express their support for you, you may ask them to send letters of endorsement to CPS Energy Mail Drop , Attn: Board of Trustees, P.O. Box 1771, San Antonio, TX, more than five letters should be submitted. 4. Decision Process The Board of Trustees will evaluate all applicants who meet the experience, knowledge and skills criteria described in the Job Qualifications document. A small number of candidates may be selected for personal interviews. A nominee will be selected by majority vote of the Board. The name of the nominee will then be forwarded to the City Council for confirmation. All candidates interviewed will be informed by letter of the decision on the eventual nominee. 5. Disclosure of Personal Finances After Appointment to a Board CPS Energy requires a nominee to submit a Financial Disclosure Statement before the nominee s name is submitted to City Council. In addition, a Financial Disclosure Statement must be filed with the City Clerk prior to action by City Council. Office of the President\Board of Trustees\BoT Archive-Prior Aug 2013\Board of Trustees\Board of Trustees Application
2 CPS Energy Board of Trustees Application te: Information is subject to disclosure under the Texas Public Information Act Name: Spouse s Name: Home Telephone #: Work Telephone #: Fax #: address: (if available) Present job title and job description: Home Address: (Street/P.O. Box, City, State, Zip) Employer and Employer s Address: City Council District if applicable: Quadrant of residence (according to CPS Energy quadrant maps): Are you a U.S. Citizen? Are you a resident of Bexar County? Attach additional sheets with requested information, as necessary.
3 Applicant Name: EDUCATION/TRAINING: High School or equivalent (G.E.D.) Year: Undergraduate School: Year Graduated: Degree: Graduate School: Year Graduated: Degree: PAST EMPLOYERS WITH DATES AND LOCATIONS (LAST 10 YEARS): ORGANIZATIONAL MEMBERSHIPS (LAST 5 YEARS):
4 Applicant Name: VOLUNTEER PARTICIPATION (INCLUDE CIVIC AND COMMUNITY ACTIVITIES FOR LAST 5 YEARS): LIST THREE WORK OR PERSONAL REFERENCES WITH NAMES, TELEPHONE NUMBERS AND ADDRESSES: 1. Name: Address: Phone: 2. Name: Address: Phone: 3. Name: Address: Phone:
5 CPS Energy Board of Trustees Application Background Information te: Information is subject to disclosure under the Texas Public Information Act Applicant Name: 1. Do you have a financial interest in any contract with the City of San Antonio (City), CPS Energy or the San Antonio Water System (SAWS) or in the sale to the City, CPS Energy or SAWS of any land, interests, supplies or service? 1 If yes, please provide details, e.g., name of organization, your relationship to it and details of contract or sale: 2. Do you or your spouse have any interest in, or are you employed by, any company or organization that does business with, or that receives funds from, the City, CPS Energy or SAWS? If yes, please provide name of organization, your relationship to it and details of business and/or funding: 1 As defined by the Code of Ethics of the City of San Antonio, a financial interest exists if any of the following individuals or entities is a party to such contract or sale: 1. the Applicant, the Applicant s parent, child or spouse or any other family member within the first degree of consanguinity or affinity; 2. a business entity in which the Applicant or the Applicant s parent, child or spouse directly or indirectly owns: A) 10% or more of the voting stock or shares, or B) 10% or more of the fair market value of the business; or 3. a business entity of which the Applicant, the Applicant s parent, child or spouse or any other family member within the first degree of consanguinity or affinity or a business entity described in 2(A) or (B) is a subcontractor on a City, CPS Energy, or SAWS contract or is a partner or parent or subsidiary business entity to an organization who is party to such contract or sale.
6 Applicant Name: 3. Are you related to any CPS Energy employee, to any CPS Energy Board member or to any member of the San Antonio City Council? If answer is yes, please explain. 4. Do you serve on any local, state, or federal government board, commission, or committee, or in any elected office? If yes, please list: If yes, are you paid for your services or reimbursed for your expenses: If yes, please provide details: 5. Are you, or any company in which you have a 10% or greater interest, delinquent in any local, state, or federal taxes? If yes, please provide details: 6. Have you or any company in which you have a 10% or greater interest been reprimanded, fined, or suspended from doing business with any public entity within the last 5 years? If yes, please provide details:
7 Applicant Name: 7. Are you current on all CPS Energy gas and electric accounts that are in your name or for which you have any financial responsibility? If no, please provide details: 8. Do you have any history of delinquent payment on the accounts referred to in Question 7? If yes, please provide details:
8 NOTE: PLEASE ATTACH A RESUME CPS Energy Board of Trustees Application Name: Date of Birth: Acknowledgment and tice By submitting this application, I hereby certify and acknowledge that: The statements contained in the foregoing application are true, accurate and complete; I understand that any misrepresentation or omission of facts in the application may result in my disqualification from further consideration or a disqualification from appointment. The position of Board member is one of public trust, and a public records background check may be conducted on the applicant. Information resulting from any such background check may be subject to the Texas Public Information Act Open Records requests. Printed Name Applicant s Signature Date RETURN TO: TRUSTEES@CPSENERGY.COM or CPS ENERGY MAIL DROP ATTN: BOARD OF TRUSTEES P.O. BOX 1771 SAN ANTONIO, TX, by close of business on December 15, 2015.
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