VOLUNTEER APPLICATION
ASSOCIATE DIRECTOR AND/OR SUPERVISORY COMMITTEE MEMBER

Associate Directors are appointed by the Board of Directors annually. They are members of the Board in training and perform all the duties of elected Directors with the exception of voting privileges in Board meetings.

Associate Directors will attend and participate in all Board of Directors meetings (i.e., regular, executive session, and Board Committees); attend educational seminars and training as designated by the Board Chair; Associate Directors may be appointed to Committees, and familiarize themselves with Hershey Federal Credit Union bylaws, policies, mission statement, strategic plan and the Federal Credit Union Act.

The Supervisory Committee is responsible for ensuring that the financial condition of the Credit Union is accurately and fairly presented in the Credit Union's financial statements, ensuring that management practices and procedures are sufficient to safeguard Credit Union member's assets, and assisting the Board of Directors in fulfilling its oversight responsibilities for the system of internal control, the audit process, and the Credit Union's process for monitoring compliance with laws and regulations and the code of conduct.

I also understand, if I currently participate or serve on another Credit Union/or Bank Board as a Director or Committee person is a conflict of interest and will disqualify my application.

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Personal Information

 
Last Name
First Name
Middle Name
Address: Street
City
County
State
Zip Code
Cellphone No.
Home Phone No.
E-Mail Address

Educational Background

 
High School
Year Graduated
College/University
Degree
Year Graduated

Employment Background

 

List all relevant experience you have had: a leader, volunteer,supervisor/manager and a board or committee member.

State your past and present job(s) and/or military experience that you posses that may be beneficial to serving as an Associate Director, or Supervisory Committee Member.

The submission of this application acknowledges that you are willing to serve as a volunteer in the best interests of fellow Credit Union members, that you will be committed to fulfill the responsibilities of the position. Applicants must be members in good standing with the Credit Union and be bondable by CUMIS. The Nominating Committee will determine an applicant's suitability for nomination by reviewing the information submitted on this Self-Nomination statement, by reviewing the candidate's Credit Union account history, and by conducting an interview with the candidate. Applicants, who do not complete this form in its entirety, will not be considered.

I understand the enclosed information may be used for publicity and balloting purposes if I am selected as a candidate (home address and telephone number will not be publicized).

I have read and understood the commitments and criteria expected of me as a volunteer, and my responsibilities.

I agree that the Nominating Committee may examine my, otherwise confidential, records in the Credit Union files.

I certify under penalty of perjury that the information provided is true, accurate and complete.

Member's Name
Date Completed