Board Candidate Application

Board Candidate Nomination Form

American Boer Goat Association
Employment Information
Have you served as an ABGA Director in the past? If yes, give office held and dates of service.*

YesNo
Dates of Service

MonthDayYear
Date
Goat Industy Participation

Education/Training*

The Board of Directors spends a minimum of 20 hours per month on association work. Depending on your level of involvement and commitment, this time might increase. Do you see this as a problem? Please Explain.*

Board Candidate Nomination Form

American Boer Goat Association
Are you or have you been a member of the Armed Forces of the United States?*

YesNo
Military Service*
Employment History*

Board Candidate Nomination Form

American Boer Goat Association
Have you or a family member been removed or denied membership in a breed association or breed registry?*

YesNo
If yes, please give details.
Have you been convicted in a criminal proceeding or been named subject of any pending criminal proceeding (excluding traffic violations)?*

YesNo
If yes, please give details.

Board Candidate Nomination Form

American Boer Goat Association
Conflict of Interest Policy
Acknowledgment*

I have read the policy on conflict or duality of interest. It is my understanding this information will be retained in the files of the Corporation and will be available for review by members, prospective members, and others who inquire. I further understand that this information may be shared with the Corporation’s legal counsel. I acknowledge it is my responsibility to ensure my disclosure information is current and complete and to update my disclosure records throughout the year if my relevant relationships change.I have no relationships to discloseI have a relationship with an organization, which I have disclosed on the attached page (Check all that apply for each Organization listed, and for Category #7, please identify position held/fiduciary role).

Board Candidate Nomination Form

American Boer Goat Association
Disclosure Form
Disclosures (if none, leave blank)
Acknowledgment*

I acknowledge that the disclosure form above is true and accurate to the best of my knowledge.

Board Candidate Nomination Form

American Boer Goat Association
Certification of Applicant
I hereby certify that the foregoing and any attached statements are true, accurate and complete. I agree that any misstatement, misrepresentation, or omission of a fact may result in my disqualification for the ABGA Board of Directors. Please allow my name to stand for nomination to the ABGA board of directors.

I am willing to commit my time to serve as a director of the ABGA. If elected to the ABGA Board of Directors, I will always act in an honorable, ethical, and legal manner in my dealings with the public. I will always support the honest and truthful promotion of the Boer goat industry. I will refrain from using unfair, dishonest, or unethical means to win advancement for myself, business associates or friends. I will always support the registry and promote the exchange of general useful information. I will comply with applicable governmental regulations.

If elected, I must also pass a background check, and agree to sign the following: Code of Ethics Policy, Confidentiality Agreement, and Non-Compete Agreement.
Signature*

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Board Candidate Nomination Form