In a separate Word or text document, please provide a response to the following. When complete, upload your document.
- Why are you interested in serving as a director of the Cooperative?
- What qualifications do you have that you feel would be beneficial to the Cooperative and to you in serving as a director?
- State your understanding of the time commitment requirements for a director of the Cooperative, both in terms of attendance at monthly meetings and in terms of other meetings. Are you able and willing to make the time commitment required? Please state any possible conflicts you foresee if elected as a director in being able to spend the time required.
- What do you see as the major challenges the Cooperative will face within the next five years?
- A copy of the Cooperative’s Conflict of Interest policy is attached. Are you willing and able to adhere to the provisions of the policy? If not, why not?
BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION
Board of Director Candidate – First Electric Cooperative Corporation
Instructions to Candidate: Please read each section carefully. Section 1 is a standalone disclosure under the Fair Credit Reporting Act (FCRA). Section 2 authorizes background screenings and related checks. Complete the information and sign where indicated.
SECTION 1. FCRA STANDALONE DISCLOSURE
FECC may obtain one or more consumer reports
and/or investigative consumer reports
about you for purposes related to your candidacy for election or appointment to FECC’s Board of Directors. These reports may be prepared by a consumer reporting agency and may include information about your character, general reputation, personal characteristics, and mode of living.
The reports FECC may obtain can include, as applicable:
- Credit reports and credit history.
- Criminal history records (federal, state, and local) and searches of national criminal databases.
- Motor vehicle and driving records.
- Identity verification, address history, and prior names/aliases.
- Publicly available information from courts and government records.
- Reference verifications.
- Publicly available online and social media information.
You have the right to request, in writing, a complete and accurate disclosure of the nature and scope of any investigative consumer report requested, and to receive a copy of the A Summary of Your Rights Under the Fair Credit Reporting Act.
SECTION 2. AUTHORIZATION AND CANDIDATE CONSENTS
By my signature below, I voluntarily and knowingly authorize the following, subject to and consistent with applicable federal, state, and local law:
2.1 Authorization to Obtain Consumer Reports. I authorize FECC and its designated agents, including any consumer reporting agency, to obtain consumer reports and/or investigative consumer reports about me at any time in connection with my candidacy for the Board of Directors, and, if I become a director, to the extent reasonably necessary for continued service or role-related determinations.
2.2 Criminal History, National Database, and Identity/Address Searches. I authorize searches of federal, state, and local criminal history records; national or multijurisdictional criminal databases; sex offender registries; sanctions/watchlists; and identity, address, and alias history.
2.3 Credit Report (Non-Employee Screening). I authorize FECC and its agents to obtain my consumer credit report for non-employment director-candidacy purposes. I understand FECC will evaluate any such report in a manner consistent with applicable law and only for legitimate, role-related purposes.
2.4 Motor Vehicle Record (MVR) / Driving Record—DPPA Consent. Where relevant to the role or FECC risk management, I authorize FECC and its agents to obtain my motor vehicle and driving records from any state, including Arkansas. This consent is provided pursuant to the federal Driver’s Privacy Protection Act (DPPA) and applicable state law.
2.5 Public Social Media and Online Searches. I authorize FECC and its agents to review publicly available online and social media content for candidacy-related purposes. I understand I will not be asked to disclose usernames, passwords, or the content of nonpublic communications, nor to add FECC or its agents to my private networks.
2.6 FECC Service Account Review. I authorize FECC to review and provide to its Nominating Committee my service/account information with FECC, if any and to the extent relevant to my candidacy. This may include my current and past service addresses, length of service at each location, usage records, other/previous accounts, payment history, past disputes, and correspondence.
2.7 Disclosures, Adverse Action. Before FECC takes any action adverse to my candidacy or service that is based in whole or in part on a consumer report, FECC will provide me with a copy of the report, a summary of my rights under the FCRA, and I will be given a reasonable opportunity to respond, as required by law.
2.8 Ongoing Nature of Authorization. This authorization remains valid through the candidacy process and, if I become a director, during my service as a director, and permits FECC to obtain updated reports of the same types described in Section 2 when reasonably necessary for legitimate, role-related purposes and as permitted by law. I may revoke this authorization prospectively at any time by written notice, which will not affect reports already obtained or actions already taken.
2.9 Accuracy, Use, and Nondiscrimination. I understand FECC will not use any report or information in violation of applicable federal, state, or local equal employment or fair credit laws and will consider the nature, gravity, recency, and relevance of any information to legitimate FECC interests and role-related criteria. I acknowledge my right to dispute inaccurate or incomplete information with the consumer reporting agency.
2.10 Limited Release. To the fullest extent permitted by law, I release FECC, its directors, officers, employees, agents, and any consumer reporting agency or information provider from liability for collecting, providing, and using information obtained in good faith pursuant to this authorization, except that this release does not waive any rights I have under the FCRA or other non-waivable applicable laws.
SECTION 3. CANDIDATE DISCLOSURES AND CERTIFICATIONS
- I certify that the information I provide to FECC or its agents in connection with this authorization and any background screening is true, correct, and complete to the best of my knowledge.
- I understand that any material misrepresentation or omission may adversely affect my candidacy or, if applicable, my service as a director, consistent with applicable law.