All applicants are urged to carefully read information about this membership solicitation and application instructions available in Microsoft Word or PDF format. Note: In addition to providing the information in this online application, you must upload a copy of your resume on the next page.

For organizational applicants only

(Use this section if you are applying as the representative of an organizational applicant.)

Organizational applicant’s primary representative:

Example: 555-555-5555

Organizational applicant’s alternate representative:

Example: 555-555-5555
The narrative is limited to 3500 characters. You have 3500 characters remaining.

For individual applicants only

(Use this section if you are applying in your individual capacity and are not a representative of an organizational applicant.)

Example: 555-555-5555

NOTE: Those serving in an individual capacity and not as a representative of an organizational applicant may not be registered lobbyists and must also file confidential employee financial disclosure forms prior to beginning their service and annually thereafter.

For all applicants

(All applicants please complete this section.)

The narrative is limited to 3500 characters. You have 3500 characters remaining.

Applications will be received until 11:59 EST, September 21, 2018.

As noted in the public notice in Word or PDF, announcing this solicitation, applications are subject to the renewal of the Committee’s charter, expected to occur on December 30, 2018 and all Committee members are subject to an ethics review prior to service.

Any questions, please contact Will Schell, Designated Federal Officer (DFO) of the Committee, Phone: 202-418-0767 (voice or relay); Email: Will.Schell@fcc.gov, or Debra Patkin, Alternate DFO of the Committee, Phone/Videophone for American Sign Language users: 202-870-5226; Email: Debra.Patkin@fcc.gov.

In addition to the information provided in the online application, please complete your application as follows:

If you are applying in your individual capacity, please upload a copy of your resume on the next page.

If you are an organizational applicant, please upload a copy of both the primary and alternate representative’s resume on the next page.