Name *

Phone number *

Email *

Name of Business *

Business Address *

Are you currently a member in good standing? *

Yes

No

If yes, how long? If no, why not? *

Why are you interested in serving on the Board of Director? *

What unique perspective, skills, or experience would you bring to the board? *

If selected for the Board of Directors, can you commit to serving at least 4 consecutive quarters? *

Yes

No

If selected for the Board of Directors, are you willing to actively serve on a board committee? *

Yes

No

Which committee do you feel best aligns with your experiences? *

Auto Dealer Committee

Finance Committee

Service Repair Committee

Towing Committee

Trucking Committee

Have you previously served on a board or committee? *

Yes

No

If yes, please briefly describe your experience. *

Are there any potential conflicts of interest we should be aware of? (Professional or Political) *

Yes

No

If yes, please briefly describe *

Could you ignore these conflicts in the best interest of the Association? *

Upload resume *

20MB max