Greylock Associate Board Member Program Application

Greylock Federal Credit Union’s Associate Board Member Program offers qualified individuals an opportunity to learn about board governance, committee work, and strategic oversight in a non-voting capacity. The program supports leadership development and board succession planning. It is intended to prepare participants for potential future service on the Board of Directors. Participation does not guarantee appointment to the Board.

Applicants who demonstrate a commitment to community, ethical leadership, and continuous learning are encouraged to apply.

Please complete all sections of this application. Fields marked with an asterisk (*) are required.

Applicant Information

Full Name*

Preferred Name

Email Address*

Phone Number*

Mailing Address*

Eligibility Confirmation

Please confirm the following

Check all that apply.

I am Greylock Federal Credit Union member in good standing
I am at least 18 years of age
I am willing to authorize a background check
I am willing to sign all required confidentiality & conflict-of-interest agreements
I can commit to attending required trainings, board meetings, and committee meetings

Professional & Educational Background

Current Occupation/Job Title*

Employer/Organization*

Highest Level of Education Completed*

Relevant Certifications

Skills & Qualifications

Please check the areas where you possess experience, interest, or knowledge:

Interest & Motivation

Why are you interested in serving as an Associate Board Member at Greylock?*
(Short answer)

How do your skills or lived experiences align with Greylock’s vision and values?*

What areas of board governance are you most interested in learning about?*

(check up to 3)

Time Commitment & Availability

Associate Board Members are expected to:
•Attend regular monthly board meetings (includes 3 meetings per year in-person)
•Participate in one Board Committee
•Attend required training sessions
•Commit approx. 5-10 hours per month

Are you able to meet these requirements?*

Yes
No

If No/Unsure, please explain:

Conflict of Interest Disclosure

Do you have any potential conflicts of interest, including financial, professional, or family relationships related to Greylock?*

Yes
No

If Yes, please explain:

Attachments

Please include:
-Resume
-(Optional) Letter(s) of recommendation
-(Optional) Supporting documents demonstrating community involvement

Attach documents: PDF or Word Documents only

Select File(s) to Upload

Certification & Signature

By checking this box, I affirm that the information provided in this application is accurate to the best of my knowledge. I understand that completing this application does not guarantee placement as an Associate Board Member.