IRfcu Board of Directors Nominee Application/ Questionnaire.
Please complete this application fully and then click "Submit" at the bottom. If you are filling out a hard copy, please complete and return to the branch at 199 N. Main St. Athens, PA 18810. If any required fields have been left blank, your form will not submit. Applications must be received on or before March 18, 2019. 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 *
First and last name
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
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 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 an IRfcu Credit Union board member. *
Your answer
Credit Report and Background Investigation Authorization
Ingersoll-Rand FCU may evaluate the competence, experience, character, and integrity of any individual who is to serve on the Board of Directors of IRfcu, a federally insured credit union. To assist in the evaluation process, IRfcu may obtain and review an individual's credit report and background investigation.

I authorize IRfcu 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 IRfcu.

Last Name, First Name, Middle Initial *
Your answer
Date of Birth (MM/DD/YYYY) *
Your answer
Drivers License Number
Your answer
Please check the box below as authorization to pull a credit report. *
Required
Notice of Completion
I have read the required 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/application may result in my name not being included on the ballot. I authorize IRfcu to perform any necessary background checks on me and to obtain a credit bureau report on me. I authorize IRfcu to share the information on this questionnaire with the membership of IRfcu so they may make an informed decision when voting.
Please type or sign your name below. *
Your answer
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