Member Advisory Board Application 2021

Advisory Board Member Application
Date

Month Day Year
Date
1. Candidate Name
Mailing Address
Home Phone
Email
example@example.com
2. Current employer
Current position
Work phone
3. Please check area(s) of expertise/contribution you feel you can make to further the mission of Y-12 FCU.

Advocacy Personnel/Human Resources Nonprofit Experience Community Service Fundraising Policy Development Strategic Planning Social Media/Communications Technology Education Finance/Accounting Public Relations Other
4. Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, professional, recreational and social). Please list organization, role/title and length of service.
5. Why are you interested in serving as an Advisory Board member for Y-12 FCU?
6. How do you feel Y-12 FCU would benefit from your involvement on the board?
7. Please share any other information you feel important for consideration of your application to serve as Y-12 FCU Advisory Board member:
8. Are you willing and able to attend Advisory Board meetings?
9. Are you willing to uphold the responsibilities assigned to you?
By signing below, I attest that the information I have provided is true and correct. Additionally, my signature represents my attestation that I have read the Member Advisory Board Charter and I am comfortable performing the duties indicated.
Signature

Clear
Month Day Year
Date
Thank you so much for applying!
SUBMIT
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