2020 Questionnaire for Nominees for the Board of Directors for Serve Credit Union
Please complete this application fully and then click "Submit" at the bottom. If any required fields have been left blank, your form will not submit. Applications must be received on or before Friday, February 21st, 2020 by 5:00 p.m. To qualify you must be a member in good standing and 18 years of age or older. The Nominating Committee will review the candidates and present a list of eligible candidates prior to the voting period. No nominations will be accepted from the floor at the annual meeting.
Name *
Your answer
Address *
Street, City & Zip
Your answer
Home Phone
Please format as XXX-XXX-XXXX
Your answer
Work Phone
Please format as XXX-XXX-XXXX
Your answer
Cell Phone
Please format as XXX-XXX-XXXX
Your answer
Email address *
This should be an email address where we can contact you.
Your answer
Employer Name
Your answer
Nature of Business
Your answer
Job Position
If the Nominating Committee determines that your employment/business creates a conflict of interest with the credit union, your name may not be included on the ballot.
Your answer
Length of Employment
Please indicate years or months
Your answer
Education *
Your answer
Organizations in which you participate *
Please include positions held. If none, write "N/A".
Your answer
Membership in other credit union(s) *
Please include positions held, if any. If none, write "N/A". Serving on another credit union Board of Directors or Committee person may disqualify you from running for the Board.
Your answer
Please state any qualifications you possess that will be of benefit to the board of directors in administering the affairs of this credit union. *
Your answer
Please explain why you would like to be a Serve Credit Union board member. *
Your answer
Please email a head/shoulder photo of yourself to Jami Weems at jweems@servecu.org no later than, February 21, 2020. If you are not able to do so, please make arrangements with Jami to stop in to the credit union and have your photo taken. *
Please check the box below to confirm you understand this requirement.
Required
This form must be completed in full, even if you have submitted a questionnaire in previous years. I have read the attached Duties & Responsibilities of the Board of Directors and would like the Nominating Committee to consider placing my name on the ballot. I understand that failure to complete any portion of this questionnaire or answer any questions by the Nominating Committee may result in my name not being included on the ballot. I authorize Serve Credit Union to perform any necessary background checks on me and to obtain a credit bureau report on me. I authorize Serve Credit Union to share the information on this questionnaire with the membership of Serve Credit Union so they may make an informed decision when voting.
Please sign your full name below.
Your answer
Today's Date
MM
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DD
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YYYY
Credit Report and Background Investigation Authorization
Serve Credit Union may evaluate the competence, experience, character, and integrity of any individual who is to serve on the Board of Directors of Serve Credit Union, a federally insured credit union. To assist in the evaluation process, Serve Credit Union may obtain and review an individual’s credit report and background investigation.

I authorize Serve Credit Union to order a credit report and conduct a criminal background investigation for the purpose of processing my application for my participation as a volunteer of Serve Credit Union.
Last Name, First Name, Middle Initial
Your answer
Mr. / Mrs./Ms.
Your answer
Date of Birth (XX/XX/XXXX)
Your answer
Please type your name below as authorization to pull a credit report.
Your answer
Submit
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