Name

First Name

Last Name

Phone

(###)

###

####

I am

Please choose all that apply

A Current Member

A Working Member

A Former Member

A Committee Member

Mailing Address

How long have you been involved as a member, working member, or committee member?

Why do you want to serve on the HFFC Board?

How would you describe your relationship with HFFC?

What experience/skills will you bring to the HFFC Board?

Do you have any potential conflict of interest with service on the HFFC Board of Directors?

For example, are you one of our vendors, or a competitor, or a relative of a staff member? A conflict of interest doesn't necessarily disqualify you from running, but the Co-op and members need to be informed.

Yes

Maybe

If you answered yes, or maybe to the above question, please give details.

Please list any organizations you are currently or have been recently affiliated with and briefly describe the relationship, (e.g. volunteer, officer, board member, etc.)

Please provide a brief biography

2-4 sentences max

References

Please list one professional or personal reference (not a family member) who can speak to your qualifications to serve on the HFFC Board of Directors.

Reference Name

Reference Phone Number

Reference Email

How long, and in what context, has this person known you?

Board of Directors Candidate Application

Thank you for your interest in serving on the Board of Directors of the High Falls Food Co-op. Please submit your application via this form, and email a recent resume to our Board President at boardpresident@highfallsfoodcoop.com

We will contact you shortly thereafter to discuss the next steps of your application.

By submitting an electronic version of this application you certify that the information herein is true and correct to the best of your knowledge and authorize verification of statements made here and on your accompanying resume.

Board of Directors Candidate Application

Info