Board Member Application

First name

Middle Name

Last name

Email

Phone

Are you over 21?

Yes

No

Birthday

Are you currently involved in any bankruptcy proceedings?

Yes

No

If you answered "Yes" to the above, please provide a brief explanation. (500 characters or less)

How do you demonstrate good character in your personal and professional life?

Please describe any instances where you have been required to make ethically challenging decisions in your professional career. How did you handle these situations? (1000 character limit)

Please detail your professional background, including any relevant managerial, entrepreneurial, finance, legal, or real estate experience.

How many years of experience do you have in the above-mentioned fields?

Please list any key roles or positions you have held that you believe qualify you for a position on the MCU Board of Directors.

What specific skills or expertise do you bring to the MCU Board of Directors?

How have your past experiences prepared you to contribute effectively to the MCU Board of Directors?

Please provide examples of any significant achievements in your professional career that you believe demonstrate your qualifications for this position.

Are you willing to serve a two-year term on the MCU Board of Directors?

Yes

No

Have you ever served on a board of directors before? If so, please describe your experience.

Are you able to commit to attending quarterly meetings and any emergency meetings that may arise?

Yes

No

How do you plan to manage your time to ensure your availability for these commitments?

What interests you most about serving on the MCU Board of Directors?

How do you see yourself contributing to the mission and goals of MCU?

Do you have any potential conflicts of interest that we should be aware of?

Yes

No

If yes, please explain the nature of the conflict.

Please provide contact information for two professional references who can speak to your qualifications for serving on the MCU Board of Directors.

Reference 1

ReferenceOneName

ReferenceOnePhone

ReferenceOneRelationship

Reference 2

ReferenceTwoName

ReferenceTwoPhone

ReferenceTwoRelationship

Is there anything else you would like the nomination committee to know about your qualifications or interest in serving on the MCU Board of Directors?

Optional Resume Upload

I acknowledge that as part of the application process for a board member position, Middle Class United will conduct a public records check. This check may include, but is not limited to, criminal history, financial background, and other relevant public information.