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2019 Board/ Committee Member

Please complete this form for all Board or Committee Member positions held during the current year.

  • Please complete a separate form for each Board or Committee you served on.

If you have any questions while completing this form please contact Anna DiDomenico.

Employee Information

Be specific and explain if it was related to using your financial expertise or your area of expertise at the Bank. For example- I served on the Board and used my financial expertise to advise on financial matters
Organization Information
If applicable
If applicable
Please go to organization's website, copy and paste the purpose/mission statement here.
If purpose/mission statement is not on website, type purpose/mission statement in box above and upload documentation supporting purpose/mission statement.
If the organization provides services that benefit low to moderate income individuals but it is not clear in the purpose/mission statement, please upload supporting documentation to evidence the benefit to low to moderate income individuals.