2022 Official Board of Directors Nomination Form

Thank you for your interest in becoming a candidate to serve on the ICBA Board of Directors. The positions that are open for election this year are Vice Chairman, Treasurer and At-Large Director. The office of Vice Chairman is an eight-year commitment, while the office of Treasurer is a one-year term and is eligible for re-election for one additional one-year term. The At-Large Director positions are a one-year term, but candidates may serve up to four consecutive one-year terms. The community bankers elected to serve will take office on March 18, 2022.

 

Nomination Instructions

To become a candidate, complete the 2022 ICBA Board of Directors Nomination Form below. The deadline to submit the form is Friday, Nov. 26.

Before you begin to complete the form, we encourage you to first preview the form to assemble all the background information required. You will not be able to save the information on the form and return to it later.

Submit a digital photograph to Kianga Lee at [email protected].

Eligibility Requirements

To be eligible for nomination, a candidate must be an Executive Officer of a community bank which is currently and has been a paid Active Member for three consecutive years prior to the election. Nominees must have been active in the ICBA or with one of its affiliated state community banking associations by having previously served on a committee, task force or council for three consecutive years. Elected members of the Board of Directors may not serve on a board or committee that has fiduciary responsibility with a non-affiliated competing state or national financial services association during their term.

ICBA Core Values

The nominee agrees to support the Association’s general purposes, guiding aims and principles which are as follows:

  • Preserve fair competition in financial services
  • Support the separation of banking and commerce
  • Oppose concentration of economic and financial services resources
  • Believe in a balanced financial system
  • Support the dual banking system
  • Create symbiotic relationships with our communities
  • Favor local decision making
  • Adhere to the highest business practices and ethical standards
  • Support a democratically governed association where each member bank has a voice and a vote

Direct any questions that you may have regarding this form to Terry Jorde at [email protected]. The deadline to submit the form is Friday, Nov. 26.

Start Nomination Form

 

 

 

 

FOLLOWING FORM TO BE DELETED BEFORE PUBLISHING. FOR REFERENCE ONLY.

Contact Information


Bank Information

Are you an Executive Officer of your bank? (Executive Officer as defined by the Board of Governors of the Federal Reserve in Regulation O.)
Is your bank in good standing and not subject to any regulatory sanctions, such as a cease and desist order or consent order?

ICBA Participation

Do your directors participate in the ICBA Bank Director Program?

Please check whether or not you have served ICBA in the following positions:

Elected State/District Federal Delegate:
Appointed State/District Federal Delegate:
Committee Chairman:
Committee Member:
ICBA Subsidiary Board Chairman:
ICBA Subsidiary Board Member:
What ICBA subsidiaries does your bank use? Please check all that apply.
Do you actively support ICBA's core values?
Have you presented testimony for ICBA before any Congressional committees?

State Community Banking Association Affiliation

Please indicate the volunteer leadership positions you’ve held with the state community banking association mentioned above and provide the year(s) that you served.

Have you attended or testified at state legislative hearings to demonstrate your support for community banking?
Have you made telephone calls to members of your state legislature supporting state community banking causes?

Other Affiliations

Is your bank a member of the following banking associations?
Do you currently hold any volunteer leadership positions with any of the banking associations mentioned above?

Federal or State Public Service

State Legislature Service:
Service with any Agency of Federal or State Government (including Regional Federal Reserve Bank Board, FHLBank Boards & Governor's Commissions, etc.):

Business Affiliation

Director of Other Business Corporations:

Additional Information

Please read the definitions and answer the following questions. Definitions are as follows:

  1. "Your family" includes you, your husband or wife, your children, brothers, sisters, and their children;
  2. "Any interest" includes any direct or indirect financial investment and any activities as officer, director, shareholder, partner, proprietor, agent, executor, trustee or beneficiary;
  3. "Any concern" includes a corporation, partnership, trust, estate, sole proprietorship or individual;
  4. "ICBA" includes ICBA and all its subsidiaries and preferred vendor services programs.
Do you or any members of your family have an interest in any concern which sold, rented or furnished any goods, properties or services to ICBA during the last 12 months?
Do you or any members of your family have an interest in any concern which had any other business connection with the ICBA?
Do you or any members of your family have an interest in any concern which conducted any business activities that could be in conflict with ICBA?
Is there any other information or matter which you feel is relevant to your ability to serve on the ICBA Board of Directors?
For which of the following position(s) are you being considered as a candidate?
Are you willing and able to devote the time necessary to serve?
Will your Board of Directors support your service to ICBA?

The information contained in this Board of Directors Candidate Form has been provided for use by the ICBA Nominating Committee in its consideration of your candidacy and it is current and accurate to the best of your knowledge.

Do you agree to promptly notify ICBA of any material change in any of this information?