Board Member Application

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Question #1: Why are you interested in serving on the MCM Board? Please limit your answer to 100 words or less (Your answer to this question will be published as part of your candidate statement for the ballot.) *

Question #2: MCM's Ends Statement describes how we work together to impact our community in tangible ways. Because of MCM, our community will be nourished and shaped by three things: equitable economic practices, regenerative environmental impacts, and inclusive, socially responsible relationships. If elected, how might you envision Maple City Market changing and evolving to better achieve these ends? *

Question #3: Describe any of your professional, volunteer, and community involvement experience that could benefit MCM's board in doing its work.

Question #4: Is there anything else you'd like to add?

Please provide a current headshot for publication along with your statement.

Click or drag files to this area to upload. You can upload up to 2 files.

Your photo should be of sufficient quality and clarity for publication in the newsletter.

For the 2020 Board of Directors election, candidates must meet the following requirements:

1. I am an Owner-Member of MCM in good standing.

2. I am committed to the Cooperative Values and Principles.

https://www.ica.coop/en/cooperatives/cooperative-identity

3. I will find sufficient time to devote to duties as a Director.

4. I am not a MCM staff person.

As part of my application to run for the Board of Directors of Maple City Market, I certify that I am in compliance with the above requirements for Board Candidacy. I understand that any deliberate or accidental misrepresentation of my compliance may result in my disqualification as a candidate and/or my removal if I am elected.

E-Signature *

By typing your name in this box you are agreeing with the contents of this form.

So You Want To Be A Co-Op Board Director?