2024 Board Election Nomination Application

Candidate Information

Name *

First

Last

Member-Owner Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Cell Phone *

Upload candidate photo here

Click or drag a file to this area to upload.

Candidate Affirmation

I affirm that I am qualified to be a candidate for the TPSS Co-op Board of Representatives. I understand the duties, expectations and risks of TPSS Co-op Board members, and I affirm that I will fulfill my obligations diligently, loyally, and prudently. If elected, I pledge to sign the required confidentiality agreement. I agree that TPSS Co-op may verify my qualifications to be a candidate for the Board of Representatives, including verification of TPSS Co-op member-owner status and any TPSS employment status. I agree that TPSS Co-op may use my Nominating Application and photograph for election purposes.

Signature

Candidate Questions

Why are you interested in serving on the Board? *

Tell us about yourself, including any volunteer or professional experiences that might be relevant to board service. If you have any experience with oversight of an organization’s budget or financial performance, please include that information here. *

Why is the TPSS Co-op important to you? *

What is your favorite co-operative principle and why? *

Why are diversity and equity important to you, and how do these principles show up in your life? *

Please check the following areas in which you have experience: *

2024 Board Election Nomination Application

Candidate Information

Candidate Affirmation

Candidate Questions

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