Advantis Board & Audit Committee Application

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Thank you for your interest in serving as an Official with Advantis Credit Union!

If you'd like to be considered for election or appointment by Advantis' Nominating Committee, please complete the following application. There is a section at the end of the application where you will be required to upload your professional resume.

All of the information you provide within this application will be kept confidential.

Interest & Eligibility

Full Name*

First Name

Last Name

Preferred First Name

Pronouns

Check your area(s) of interest:*

Board of Directors Audit Committee

Click here to view an overview of Advantis' Governance structure and position descriptions for Director, Associate Director, and Audit Committee.

Are you an Advantis Credit Union primary member?*

Yes No

An Advantis primary member is listed first on the membership and has voting rights. Current non-members are welcome to apply.

Have you been a member for at least 12 months?*

Yes No

This is not a requirement to become an Official.

Contact Information

Email*

Cell Phone*

(###) ###-####

Home Phone

(###) ###-####

Alternate Email

e.g. work email

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Preference on when or how we contact you?*

Background & Experience

At Advantis, we welcome members from all educational and professional backgrounds to apply & are eager to hear about your unique experiences.

Occupation Type*

Full-Time or Part-Time Employee Self-Employed / Business Owner / Independent Contractor Student Retired Other

Please provide any additional information about your professional background.*

Company Name*

Position / Job Title*

School Name*

Business Name(s) *

Previous Employer or Employment Type*

Field of Business*

Field of Study*

Estimated Program Completion Date*

Years with Current Employer*

Years with Previous Employer*

Employer Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Work Phone:

(###) ###-####

Please describe your educational background:*

Please share any memberships in professional societies & associations, volunteer positions, board of directors service or other offices held:*

Questions

Why do you want to serve on Advantis’ Board of Directors or Audit Committee?*

Please check that you have reviewed & understand the following documents:*

Governance Overview Position Descriptions Officials' Code of Ethics & Standards of Personal Conduct Policy Nominating Committee Letter

Click here to review the above referenced documents under the Resources column on the left hand side of the page.

Do you have any concerns related to the duties outlined? Do you foresee any challenges meeting the time commitment involved in serving as an Official?*

Please describe your background or professional experience that’s applicable to serving in the capacity of a Director or Audit Committee Member:*

What skills/strengths do you feel you can bring to the Board or Audit Committee?*

What do you see as the main value in the credit union financial cooperative?*

Do you envision any areas of potential concern facing the credit union movement?*

Other pertinent information you’d like to share:

Attachments

Professional Resume*

No File Chosen

File uploads may not work on some mobile devices.

Additional Attachment (if applicable)

No File Chosen

File uploads may not work on some mobile devices.

Comments

Any additional information we should know about your application and/or attachments?

Verification Statement

By signing below, I certify that the preceding information is true to the best of my knowledge; I am currently a member or committed to becoming a member in good standing of Advantis CU, and agree to allow verification of any information provided on this application, including authorization for Advantis CU to obtain a background check in connection with this application; I acknowledge that at any time during the evaluation process I may be provided access to proprietary and confidential information of Advantis CU; I agree to keep all such matters and information involving Advantis CU confidential.

Applicant's Signature*

[clear]

Use your mouse or finger to draw your signature above

Today's Date*

MM/DD/YYYY

Interest & Eligibility

Contact Information

Background & Experience

Questions

Disclosure

Attachments

Comments

Verification Statement