Board Application

Board Candidate

Application Form
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email (required)
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Member Number (Applicant must be owner of record on account)
Member Since (year)
The following information will be published on the Co-op website and all balloting information. Your complete answers are required and communicates to Co-op members who you are and why they should vote for you. Limit your answers to a maximum of 300-word total.
Why would you like to serve on the Board of Directors of Ukiah Natural Foods?
Describe how your experience, including education, trainings, and working with other groups or boards, will help you succeed as a board member.
Which of the seven International Cooperative Principles (www.ica.coop) is most meaningful to you and why?
Why are you a member of the Co-op?
What do you see as the most important opportunities and/or challenges facing the Co-op in the next five to ten years?
Should be Empty:

Board Candidate