2026-2027 Board Appointment Application

Contact Information

First Name

Last Name

Member Number

Are you currently an employee of the Co-op?

YesNo

Mailing Address

City

State

Postal Code

Phone

Present Occupation

What interests you about serving on the Co-op's Board of Directors?

In what ways can you contribute to the Co-op community through Board Service?

Which Co-op Value is the highest Priority for yourself? Which Co-op Value do you think should be the highest priority for the Co-op? They may be the same. https://coopfoodstore.coop/board/.