Volunteer Form | Perfect Circle Credit Union

I Am Interested In

Position*

Board of Directors service
Supervisory Committee service

Applicant

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Work Phone

Email*

Preferred Method for Contact

Employer

Title

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Source of Referral / Information

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I have experience in:

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Other*

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Education

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Education*

Some High School
High School Graduate
Some College
Undergraduate College Degree
Some Graduate Coursework
Graduate Degree or Higher

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Additional Information

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I became a member of PCCU because:

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I have these other affiliations:

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I have these other governance service experiences:

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These are the strengths I feel I could bring to PCCU governance:

Your Approval

Please read the following and check the box below.*

I understand that volunteer service with PCCU requires a time commitment of 8 - 10 hours a month and that a portion of that time requires attendance at monthly meetings and upon occasion a committee meeting as well as continuing education and development.