CANDIDATE INTEREST FORM
For Nominating Committee or Board of Directors

Forms submitted will be shared with AgCountry's Nominating Committee.

To be eligible to serve as a Nominating Committee member, prospective candidates must meet the following requirements:

Own at least one share of AgCountry Class B Risk Stock and be the authorized voting stockholder or the authorized voting representative on record with AgCountry.
NOT a director, officer, employee or agent of any Farm Credit System institution.
NOT have served on the AgCountry Nominating Committee consecutively for the four previous years.
NOT, at the same time, be a candidate for a Director position.
NOT have an Association loan classified as Substandard, Doubtful or Loss Loan.

To be eligible to serve as a Director, prospective candidates must meet the following requirements:

Be involved in a farming operation and reside or farm within chartered territory of the Association.

Own at least one share of AgCountry Class B Risk Stock and be the authorized voting stockholder or the authorized voting representative on record with AgCountry.
NOT have an Association loan classified as Substandard, Doubtful or Loss Loan.
NOT a director, officer, employee or agent of any Farm Credit System institution (other than AgCountry) or FCA within the previous year from the election date.
NOT a director, officer, employee or agent for any other financial institution or entity that is authorized to offer the same type loans, leases or financially related services as AgCountry, including tax, farm accounting and records, insurance and succession and retirement planning.
NOT have attended a meeting as a member of the Nominating Committee in the same election cycle.

Important note: Please submit Candidate Interest forms by January 31st, 2024, for consideration by the Nominating Committee for the 2024 election.

PROSPECTIVE CANDIDATE INFORMATION

Desired candidacy (select one) *

Board of Directors

Nominating Committee

Director Candidacy Questions

Name (As you would like it to appear on the ballot) *

Residence Address (Street, City, State, Zip Code) *

Business Address (If different than residence)

Email Address *

Phone Number *

Date of Birth *

Briefly describe your farming operation (What do you farm, where, who farms with you, etc.) *

Please list any other occupations (if any) *

Please describe your educational background, including schools attended, degrees earned, certifications, etc. *

Business Experience – Provide all business experience during the last 5 years, including principal occupation and employment *

List any business interests/directorships (Include directorships which you have held or presently hold with any Farm Credit System institution, any business interest other than Farm Credit System institutions on whose board you now serve or for whom you are employed in a position of authority and state the principal business in which the business is engaged.) *

Why do you want to serve on the Board of Directors? *

Leadership Role - Provide an example of a leadership role and how that has prepared you for a position on this Board. *

Business Knowledge, Experience and/or Education - Describe your business knowledge experience and/or other education as it relates to: Strategic Planning, Governance, Organizational Performance/Financial Reporting, Business Technology, Risk Management, Human Capital/Talent Management *

Nominating Committee Candidacy Questions

Name (As you would like it to appear on the ballot) *

Residence Address (Street, City, State, Zip Code) *

Email Address *

Phone Number *

Principle Occupation (farming, ranching, etc.) *

Other Occupation (If any) *

Please describe your educational background, including schools attended, degrees earned, certifications, etc. *

Please list any business experience and current leadership *

Have you served on AgCountry's Nominating Committee in the past? *

Yes

How many years did you serve? *

Why do you want to serve on AgCountry's Nominating Committee? *