Volunteer Application

* Indicates Required

Volunteer Application

Please attach a copy of your current resume

• Name *
• Member Number *
• Home Address *
• City *
• State *
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip *
• Home Phone *
• Work Phone
• Cell Phone
• Email Address *
• Educational Background
• Occupation
• Employer
• Employer Address
• Employer City
• Employer State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Employer Zip
• Will your employer permit you to hold a position on Consumers Board of Directors or one of the Boards' committees? *

  Yes No
• Please explain:
• Have you previously served as a volunteer Board Member or Committee Member for CCU? *

  Yes No
• When and in what capacity?
• Have you served as a volunteer board or committee member at another credit union? *

  Yes No
• When and in what capacity?
• Briefly describe your other volunteer activities *
• Have you served as a volunteer or paid director or committee member for another financial institution? *

  Yes No
• When and in what capacity?
• What educational background or training have you had in regard to financial institutions? *
  (Seminars, conferences, workshops, etc.)
• Credit Union volunteers usually volunteer approximately 10-15 hours each month between Board and Committee meetings. There may also be additional half day and or weekend full day sessions. Will your schedule allow you to commit this amount of time? *

  Yes No
• Board member terms are three (3) years, Supervisory and Other Volunteer Committee terms are one (1) year. Are you willing to attend on your own time conferences, seminars, workshops, etc., related to the duties of a CCU volunteer?*
  (Registration and travel expenses are paid by the credit union.)

  Yes No
• Check below the area in which you want to volunteer for CCU *

  Board of Directors Supervisory Committee Other Volunteer Committees
• List any additional information that might be pertinent to your becoming a candidate for a CCU volunteer position including educational background and work experience. *
• Are you aware of any potential conflict of interest either personal or occupational for yourself or your family members that may preclude volunteer service? *

  Yes No
• Please explain:
• Why would you like to be a volunteer for CCU? *
  (Note: A summary of the information you provide may be modified into 50 words or less to be included in CCU's Proxy Form or; please include a separate paragraph of 50 words or less that you would like used in CCU's Proxy Form.)

Supporting Documents

If you meet all of the CCU Volunteer Board requirements, a member of the Nominating Committee will contact you directly to schedule an interview time.

By clicking submit, I certify that I have not been convicted of any criminal offense involving dishonesty or a breach of fiduciary duty. I authorize you to order a Consumer Credit Report at such time as you may require. I also understand that the Nominating Committee will use the above information and any other information they deem appropriate for volunteer service to Consumers Credit Union.