Staten Island USBC Board Candidate Form

Board of Directors Candidate Form

Complete this form to apply for an available Director or Officer position on the Staten Island USBC Board of Directors.
Director
Deadline: May 12, 2025
Name*

First NameMiddle NameLast Name
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*

Confirmation Emailexample@example.com
Mobile Number*
Format: (000) 000-0000.
Other Phone
Format: (000) 000-0000.
USBC Member ID #*

Employment Record or Business Ownership

Past/Present, list in reverse chronological order.
Firm or Company Name*
Position(s) Held
Length of Employment
Responsibilties
Firm or Company Name
Position(s) Held
Length of Employment
Responsibilties
Firm or Company Name
Position(s) Held
Length of Employment
Responsibilties

USBC Association Service

Include any related service, along with the number of years of service and dates, such as an League Officer, Association Officer, Director, Youth Bowling, Bowling Council, 500, 600, 700 Clubs, etc. Please list in chronological order, listing the most recent first.
YesNo
Number of Years*
Local Service
State Service
National Service
Special Honors and Recognition (local, regional, national, career or personal) that you have received. Include date, name of award and organization.
Please list other affiliations related to bowling, along with your title(s)

Please describe why you would like to serve on the Staten Island USBC Board of Directors*

Please consider me a candidate for nomination to the Staten Island USBC Board of Directors. I understand the duties and responsibilities of the position and will agree to expend the time and resources required to serve if I am nominated by the Committee and elected by the Members in May during the Annual Meeting. I attest that, to the best of my knowledge, the information contained in this application is true and accurate and contains no significant omissions. I acknowledge that submitting an application with inaccuracies or omissions, revealing confidential information known by me, or repeating confidential information provided by others, is a breach of Staten Island USBC's Confidentiality Agreement. In addition, I acknowledge that if such breach occurs, the Nominating Committee may refuse to consider my candidacy.

THIS FORM MUST BE COMPLETED BY MIDNIGHT ON MAY 12 IN ORDER TO BE CONSIDERED BY THE NOMINATING COMMITTEE AND FOR ELECTION AT THE ANNUAL MEETING.
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Rows	Yes	No
Are you familiar with the bylaws and governance structure of USBC?
Do you have a working knowledge of Robert's Rules of Order?
Have you been continuously active in your local and/or state association(s)?
Are you available to attend quarterly board meetings
Would you be willing to attend training sessions to enhance your understanding of the Board's role and responsibilities?

Board of Directors Candidate Form