Board of Directors Application Name* First Last Email* Your Email Address Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone* Owner Number* (on back of Owner card – i.e. 4123450#####, or you may call Owner Services and ask them to look it up.) Owner Since For Board Review Education or Training Current Occupation Special Interests Business/Organizational Experience Briefly describe any business, management, volunteer, or community group experience you may have that is pertinent to this application. Board Experience (if applicable) Include Organization Name, Years as Director, and Officer Position(s) Held Candidate's Statement To help Owners learn more about you, please answer the following questions. Please limit your response to no more than 325 words altogether, for these four questions. The Common Market will include your answers with the ballot to Owners prior to the election, publish them on our website, and may share them through additional means. The Board Development Committee reserves the right to edit your submissions, as necessary. For the Ballot Motivation* Tell us what makes you want to serve on the Board. Experience/Knowledge* Tell us what experience you've had with co-op, and why you think they're important. Personal Strengths/Skills* Tell us what would make you a good Board member. Other Stuff* Tell us anything else you'd like Owners to know about you. Required Actions Please view our list of required actions. All boxes must be checked to qualify for candidacy. Your completion of these items will be reported on the ballot, along with your candiate statements. *Events will be held in person or via an online platform, depending on conditions. BOD Meeting* I will attend one or more Board of Directors meeting(s) on May 27th, June 24th, and/or July 22nd. (All meetings times are 6 pm - 9 pm) I agree I do not agree BOD Information Sessions* I will attend a Board of Directors information session on June 10th 6:30 pm - 7:30 pm or June 21st 6:30 pm-7:30 pm or July 6th from 6:30-7:30pm. I agree I do not agree Annual Meeting* If elected, I commit to attending the Annual Meeting, date TBA. I agree I do not agree Board Retreat* If elected, I commit to attending the Board Retreat on November 6th 9 am-4 pm & November 7th 9 am-12 pm I agree I do not agree Candidate Photo Please include a photo with your application. Please submit a high-resolution digital image that you can attach here. If you don't have an image available, please contact Owner Services to arrange a time for them to take your picture. Accepted file types: jpg, gif, png, Max. file size: 5 MB.
