Proposed appointee to serve as the entity’s representative on the Committee
Name and Contact Information
The proposed representative’s resume must be submitted as an electronic file in machine-readable PDF or Microsoft Word (.doc or .docx) format. The electronic file name should include the name of the entity, the word “resume,” and the last name of the proposed representative, using should use the following naming convention:
Example: entityname_Resume_lastname_of proposed representative.pdf
The file may be uploaded using the widget on the final page of this form or may be transmitted as an attachment to an email to the Committee’s Designated Federal Official, Scott Marshall, email@example.com.
Satement of Qualifications
Please describe the proposed representative’s qualifications for service on to the FCC Consumer Advisory Committee, including any specific knowledge or expertise that is relevant to the Committee.
Please enter the name, title, and contact information of the officer or other official submitting the certification letter.
Name and Contact Information of Certifying Official