Northwest Resource Federal Credit Union

		Director / Committee Application

Thank you for your intereste in becoming an official* with Northwest Resource Federal Credit Union. Please complete the following and return to Gail James at the Credit Union.

Name
Address	Apt#
City		State Zip
Home Phone#	Work Phone# Ext.
Employer
Address
City		State Zip
Position	Hire Date

I would like to volunteer for a position on the Board of Directors Supervisory Commitee

What is your primary reason for seeking a volunteer position with NRFCU?

Other volunteer experiences:

Describe past experiences or accomplishments you feel will contribute to becoming a volunteer for NRFCU.

I certify that ll the information entered on this form is true and correct to the best of my knowledge. I also understand that in order to become an official, I must authorize and pass a criminal beckground check, credit and bondability check. I authorize Northwest Resource Federal Credit Union to perform such checks. Signature_________________________________________ Date_____________ *All positions on the Board of Directors and Supervisory Commitee are volunteer positions. Credit unions are not for profit financial cooperatives and Boards and Committees are unpaid officials.

Northwest Resource FCU • Attn: New Accounts • PO Box 2788 • Portland, OR 97208