Shareholder Forms and Applications

Shareholder Services Forms

Shareholder Service forms can be printed out so that you can complete and send or fax to the corporate offices at 907.550.4147. Please feel free to send us feedback regarding additional forms that you would like to see included. *Please note that some of these forms we need your original signature on.

Type Name Instructions Deadline Modified
Stop-Payment Request Form

Use this form if you would like to stop payment of your dividend.

02/20/2009
Shareholder Voluntary Tax Withholding Form

Use this form if you would like to claim some tax withholding from your dividend.

02/20/2009
Shareholder Request for Information

Use this form to request your shareholder information from us.

02/16/2009
Shareholder Dividend Direct Deposit Form

Use this form if you would like your dividend direct deposited into your bank account.

02/20/2009
Gift of Stock Form

Use this form if you want to "gift" some of your stock to another family member or relative.

02/20/2011
Change of Address

Use this form if you would like to change your address.

02/16/2009
CAC Will Form

Use this form if you would like to make up a will and have it notorized.

03/26/2014
Type Name Instructions Modified
Gift of Stock Form Use this form if you want to "gift" some of your stock to another family member or relative. 2/20/2009
Change of Address Use this form if you would like to change your address. 2/16/2009
CAC Will Form Use this form if you would like to make up a will and have it notorized. 3/26/2014
Shareholder Dividend Direct Deposit Form Use this form if you would like your dividend direct deposited into your bank account. 2/20/2009
Shareholder Voluntary Tax Withholding Form Use this form if you would like to claim some tax withholding from your dividend. 2/20/2009
Stop-Payment Request Form Use this form if you would like to stop payment of your dividend. 2/20/2009
Shareholder Request for Information Use this form to request your shareholder information from us. 2/16/2009

Shareholder Development Forms

Contact Shareholderdevelopment@chugach.com if you have questions about the following documents.

Chugach Alaska Corporation
Shareholder Development
3800 Centerpoint Drive, Suite 1200
Anchorage, Alaska 99503
Jayme Johnson, 907.550.4150
Millie Johnson, 907.261.0386
Toll Free: 880.858.2768 ext 4150

Shareholder Talent Bank Form: (No deadline)

The Talent Bank form is an internal tool provided to shareholder, descendant and spouse of shareholders of Chugach Alaska Corporation, for the purpose of assisting with finding potential employment opportunities within the Chugach organization. Filling out this form does not guarantee employment.

Apprenticeships: (No deadline)

Looking for an opportunity to obtain on-the-job training? Chugach Alaska Corporation has a one-year program for Chugach shareholders and descendants. The program provides valuable work experience and apprentices accrue vacation and personal leave and receive holiday pay and a competitive wage.

Internships: (No deadline)

Chugach Alaska Corporation shareholders or descendants are you currently enrolled in an accredited college? Are you a full time undergraduate student (12+ credits) or a full time graduate student (9 credits) and have a 2.0+ GPA? If so, you are eligible for an internship with your corporation.

Training Without Walls “TWOW”: (Deadline: February 27,2015)

TWOW is a leadership training program offered to Chugach Alaska Corporation shareholders and descendants. TWOW is a two-year program that meets three times a year for two-day training sessions. Candidates selected to participate will need to devote the time necessary to complete the program. Hotel and airfare accommodations will be available to participants traveling outside of the Anchorage area.

Shareholder Business Assistance Program “SBAP”: (Deadline: August 14, 2015, 5:00pm AST)

The program is designed to help promote and enhance small business development by supporting small businesses owned by Chugach Alaska Corporation shareholders and descendants. The funds awarded are to be used for the startup or expansion of a shareholder or descendant small business. SBAP funds are to supplement or match and not replace alternative funding resources. SBAP funds may not be used for refinancing or an existing small business loan. No more than $5,000 will be awarded to any one shareholder or descendant owned business. SBAP awards are taxable and SBAP funds must be expended within one year of the SBAP award.

 

Type Name Instructions Modified
TWOWApplication2014-2015

TWOW is a leadership training program offered to Chugach Alaska Corporation shareholders and descendants. TWOW is a two-year program that meets three times a year for two-day training sessions. (Enrollment deadline is February 27th, 2015)

04/18/2014
Shareholder Talent Bank Form

The Talent Bank form is an internal tool provided to shareholder, descendant and spouse of shareholders of CAC, for the purpose of assisting with finding potential employment opportunities within the Chugach organization.

10/22/2010
Shareholder Business Assistance Program (SBAP)

SBAP is a competitive program designed to assist CAC shareholders and descendants in the startup or expansion of small businesses. The theme this year is "Economic Development within our Chugach Region". Share your vision! (Deadline: August 14, 2015)

02/16/2015
Internship Application Form

CAC shareholders or descendants are you currently enrolled in an accredited college? Are you a full time undergraduate student (12+ credits) or a full time graduate student (9 credits) and have a 2.0+ GPA?

01/06/2010
Apprentice Application Form

CAC has a one-year program for Chugach shareholders and descendants. The program provides valuable work experience and apprentices accrue vacation and personal leave and receive holiday pay and a competitive wage.

01/06/2010

Cultural Resources Forms

The Nuuciq Spirit Camp is now run and managed by the Chugach Heritage Foundation. Please go to their website for more information, dates, applications, and contact numbers.

Scholarship Forms

Welcome to the Chugach Heritage Foundation Scholarship program. We currently administer the Chugach Heritage Foundation Scholarship.
Chugach Heritage Foundation Scholarship Programs

If you have any questions or would like more information, please contact:

Stephen Grantier
Chugach Heritage Foundation
3800 Centerpoint Drive, Suite 1200
Anchorage, AK 99503
907.563.8866
stephen.grantier@chugach.com