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Board Candidate Application 2015 1 .pdf



Original filename: Board Candidate Application 2015-1.pdf
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Board Candidates Application
Whole Earth Grocery, River Falls WI
Director
I declare that I am a candidate for the Whole Earth Grocery Board of Directors.
I recognize that as a Director I will have fiduciary responsibility to the owners to act in an informed and
prudent manner.
I understand that I am making a significant time commitment to WEG.
I recognize that as a Director I will have a duty to represent the owners and to act in their best interests.
I understand that serving as a Director is a job which requires that I:
1. Prepare for and attend Board meetings regularly, including the Annual Meeting.
2. Attend Board orientation and board training opportunities throughout my term.
3. Serve on at least one committee and attend meetings of said committee
4. Become familiar with the Co-op’s Bylaws, policies and financial statements.
What we expect from Directors:
1. A genuine interest in Co-op issues and our community.
2. A solid two-year commitment to the Board.
3. A willingness to take responsibility for Board duties and work together with understanding, mutual
support, and respect to make decisions that will enhance the viability of the co-op.
Whole Earth Grocery
BOARD CANDIDATE APPLICATION
The Nominating Committee would like some basic information on your expertise and background, what
you feel you can offer the co-op, and what interests you about serving on the board.
NAME ____________________________________________________________________
ADDRESS _________________________________________________________________
___________________________________________________________________
PHONE w______________________________ h_____________________________
A. CO-OP MEMBERSHIP VERIFICATION
Membership name ______________________________________________
Membership number ______________
Member since ___________________
Please see reverse side

B. CANDIDATE BACKGROUND DATA
1. Biographical information
Current occupation:____________________________________________________________
Education: include institution, specialization & degrees earned: _________________________
_____________________________________________________________________________
Special Interests: _____________________________________________________________
2. Board Experience
Cooperative business ___________________________________________________________
Private businesses Non-profits or community agencies _________________________________
_____________________________________________________________________________
List officer positions held on these boards. __________________________________________
_____________________________________________________________________________
3. Business and/or Organizational Experience
List and briefly describe any business and/or volunteer positions (including community groups)
you have held.

C. SKILLS: Describe your skills and/or experience in the following areas, using the codes
1= slight, 5= extensive:

Financial
1
2
3
analysis:
Grocery
and/or
1
2
3
natural
foods:
General management:
Personnel/employee relations:
Member/public relations:
Board or committee administration:
Management oversight and compensation:
Strategic planning:

4

5

4

5
1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

5
5
5
5
5
5

4. Please summarize the information that you believe will give voting members the opportunity to
determine who is best suited for board responsibilities. This will be used to introduce you to members via
our email newsletter and a 'Nominees' flyer posted in the store. Limit yourself to 150 words.
5. Please also provide a head shot of yourself to be included in our candidate announcement.
(Recommended resolution is 72 dpi)

February 9 application deadline
Applications may be dropped off at the store or mailed to:
Maureen Ash, WEG Board Chair
N7659 950th St, RF 54022.
Contact Maureen if you have questions. mash76@sbwireless.net 715-425-0040


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