Member Volunteer Application

We appreciate your interest in becoming an Advia Credit Union Volunteer. Your qualifications as a volunteer are important in our overall selection process. A clear understanding of your background will aid us in considering you for a volunteer position that best meets your qualifications and our needs.

An * indicates a required field.

First Name*

Last Name*

Today's Date*

Home Address*

City*

State*

Zip*

Home Phone*

Cell Phone*

Work Phone*

Email*

Employer

Work Address

City

State

Zip

Job Title

Education/Certifications:

If you are related to a current or former employee or board/committee volunteer of Advia Credit Union, please indicate their name(s) and relationship(s):

Areas of Interest:

Please select the committees in which you are most interested in serving as a volunteer at Advia Credit Union:

Board of Directors: Improve effectiveness & efficiency of service provided by Advia Credit Union via policy review and strategic initiatives.

Audit Committee: Supports Board of Directors by reviewing financial reporting, monitoring risk and compliance management, and overseeing internal and external audits.

Select a choice*

Board of Directors
Audit Committee

Meeting Availability Daypart(s) - Select all that apply*

Morning
Afternoon
Evening

Anticipated hours available per month:*

Please note: Most meetings occur in the evening.

Please state why you would like to serve as an Advia Credit Union Volunteer.*

Briefly describe your previous work-related or volunteer experiences which would qualify you as a volunteer for Advia Credit Union.*

References:

Name*

Address*

Phone Number*

Name*

Address*

Phone Number*

Consumer Reporting Acknowledgment

As a part of the process of determining your eligibility for current or future volunteer/employment opportunities, the Credit Union may obtain “consumer reports” containing information from “consumer reporting agencies” about such matters as your creditworthiness, credit history, character, general reputation, personal characteristics, or mode of living. In some circumstances, we may obtain an “investigative consumer report”, which is a special kind of consumer report in which information on your character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with your neighbors, associates, or others who may have knowledge about you. Under the Fair Credit Reporting Act, if we obtain an investigative consumer report, you have the right to make a written request for disclosure of the nature and scope of the investigation within a reasonable period of time. We will promptly provide the required disclosure. By choosing “Agree” below, you acknowledge you understand your right to receive a copy of this document, a DISCLOSURE OF USE OF CONSUMER REPORTS FOR VOLUNTEER/EMPLOYMENT PURPOSES, and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT; and you authorize the Credit Union to obtain any consumer reports/investigative consumer reports it may wish to use now or in the future for volunteer/employment purposes (including decisions on hiring, promotion, transfer, etc.).

Do you agree?*

Background Check Acknowledgment

I understand that Advia Credit Union maintains a policy of obtaining and reviewing information contained in criminal history/background reports to evaluate my qualifications for volunteer/employment. I authorize Advia Credit Union to obtain my criminal history/background report for use in considering my application for volunteer/employment. I understand that my answers to questions within my application will only be used to conduct a criminal history/background check and will not be used for any discriminatory actions prohibited by federal, state, and local laws. By choosing “Agree”, I agree to these terms.

Do you agree?*

Member Volunteer Application

Areas of Interest:

References:

Consumer Reporting Acknowledgment

Background Check Acknowledgment

Advia Credit Union

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