Board of Directors / Nominating Committee Candidate Recommendation Form

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* 1. Contact Information

Name *

Address *

Address 2

City *

State *

ZIP *

County of Residence *

Email Address *

Phone Number *

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* 2. Date of Birth

Date of Birth

Date

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* 3. # Years AFC Customer?

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* 4. Owner or Joint Owner of Alabama Farm Credit voting stock?

Yes

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* 5. Principal Occupation?

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* 6. Farmer?

Yes

Full-Time

Part-Time

Other (please specify)

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* 7. Business Information

Business Name

Address

City/Town

State

ZIP

Email Address

Phone Number

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* 8. Business Experience

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* 9. Describe agricultural operation:

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* 10. Current directorships, including dates of service (if currently serving on a Board which provides loans or financially related services (insurance products), a letter is required to be provided stating the intent to resign from that Board effective immediately upon being elected to AFC's board.)

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* 11. Past directorships, including dates of service:

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* 12. Please fill out any of the areas in which you have experience in the following: financial reporting, risk management, business technology, strategic planning, human resources or other areas of expertise.

Leadership Roles

Knowledge

Experience

Education

Other

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* 13. Current or past positions held within the Farm Credit System, including dates of service:

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* 14. Current affiliations, memberships, community involvement, including dates of service:

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* 15. Education (list degrees held)

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* 16. Why do you want to be a Board/Nominating Committee Member?

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* 17. If selected as a Board of Directors/Nominating Committee candidate, I approve Alabama Farm Credit's use of my non-confidential information in it's Annual Meeting Information Statement and Election Package.

Approve

Disapprove

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* 18. If you are making this recommendation on behalf of someone other than yourself, please provide your contact information.

Name

Email Address

Phone Number