BOARD OF DIRECTORS APPLICATION FORM

BOARD OF DIRECTORS APPLICATION FORM

Candidate must complete this form NO LATER THAN APRIL 10 to be considered for this year's elections. Answer all questions as completely as possible. Not all applications are approved for the slate.
Candidate's Information
Name*

First NameLast Name
USBC Membership #*
Address*

Address

Address Line 2

CityState

Zip Code
Cell

Area CodePhone Number
Home

Area CodePhone Number
Email*
example@example.com
Shirt Size*
Shirt Style*
Are you OVER the age of 18?*

Yes
Are you a youth bowler aged 14-18?

Yes
List Local USBC Associations you are a member of.
Total number of years as USBC Member
Number of years as California USBC Delegate
Number of years as USBC Delegate
Are you a member of a USBC certified league in California at the present time?*

YesNo

QUALIFICATIONS: Please complete the following sections beginning with the most recent office working back.
CALIFORNIA STATE USBC ASSOCIATION
OTHER STATE USBC ASSOCIATION
LOCAL USBC ASSOCIATION
USBC
ABC / WIBC
OTHER ORGANIZATIONS
BOWLING HONORS / AWARDS
NEW CANDIDATES: List committees chaired in the past
EMPLOYMENT HISTORY (if applicable)

REFERENCES - List three persons who have knowledge of your bowling background and/or education.*
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.

There will be no campaigning for votes when a candidate seeks election to the California USBC Board of Directors. Any violation of the California USBC policy regarding campaigning for election may subject the nominee to disqualification as a candidate.

I hereby consent to have my name placed in nomination for the office indicated below.
OFFICE POSITION
Name

First NameLast Name
Signature (click hold and drag mouse to sign in box)*

Clear
Date

MonthDayYear
Date
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