Board of Directors Nomination Form

Thank you for your interest in becoming a member of Brokaw Credit Union's Board of Directors. Please fill out this survey as completely as possible.

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* 1. What is your name?

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* 2. Where are you presently employed, and what is your occupation?

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* 3. Why do you want to serve on BCU's Board of Directors? (May be used as a quote.)

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* 4. Are you able to attend a monthly board meeting at our Weston office location, along with any specially called meetings (generally up to three annually) as required?

Yes

No

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* 5. Please share aspects of your work history that might be relevant to this position, including place of employment, position and number of years of service.

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* 6. Please list any community or business organizations of which you are a part, and state how they may relate to your service on our Board.

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* 7. What additional areas of expertise do you have or what other skills/talents would you bring to this volunteer position?

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* 8. I have read the Board of Directors Qualifications, and hereby state that I do meet, and pledge to continue to meet the general requirements as stated, including participating in educational courses, adhering to strict confidentiality requirements, and maintaining my membership in good standing.

I have fully and truthfully answered the Board Questionnaire, which I am hereby submitting. Therefore, please accept my name for consideration for nomination at the 2022 Brokaw Credit Union annual meeting.

By clicking here, you agree to the above.