EOS Alliance Board candidate, submit your COI Form here
We only need a completed Conflict of Interest form to list you on our ballot. Please fill out the information here, and upload your signed COI form. Questions? Visit us on Telegram at
Email address *
What is your full name as you want it listed on the ballot? *
What is your account name on EOS Mainnet? *
The current Board seat is reserved for an EOS Mainnet member
Not sure yet if you want to be a candidate?
Read about the Board and what service as a member means, and about the election process here:
https://eosalliance.io/eos-alliance-board/eos-alliance-board-election
Download and fill out a Conflict of Interest (COI) form.
In Adobe Reader, use "Fill and Sign" to add information. The PDF form is here:
https://drive.google.com/a/eosalliance.io/file/d/1KGkgGUW6tz1qHXgljf0KFG4C9JV4u81B/view?usp=sharing

Common conflicts involve owning shares in, or working for, a BP or Exchange.

These conflicts do NOT disqualify you from service! Disclosing them helps ensure you won't be asked to vote on topics where you have a conflict.

Upload your signed COI form here *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of EOS Alliance. - Terms of Service