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? Your answers to question #1 will be published as part of your candidate statement for the ballot. Please limit each answer to Question #1 to approximately 100 words or less. *

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?