Volunteer Information 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

Source of Referral / Information

I have experience in:

Other*

Education

Education*

Additional Information

I became a member of PCCU because:

I have these other affiliations:

I have these other governance service experiences:

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.

I Agree

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