We’ve extended the submission deadline to September 30th!
CONFLICTS OF INTEREST STATEMENT:
According to policy G.5, I have an affirmative duty to disclose my actual and potential conflicts of interests, including relationships (such as with associations, organizations of which our co-op is a member, co-op employees and vendors), which may pose a conflict of interest in whole or in part with respect to my service on the board. I understand that I have a duty to disclose any additional actual or potential conflicts that may arise and to abide by board policy regarding participation in matters under consideration by the board.
Describe any conflicts of interest below:
CAN YOU COMMIT TO SERVE A THREE-YEAR TERM ON THE OPEN HARVEST BOARD OF DIRECTORS? YesNo
DO YOU HAVE A SUFFICIENTLY FLEXIBLE SCHEDULE THAT YOU CAN CONSISTENTLY ATTEND MONTHLY BOARD MEETINGS? YesNo
ARE YOU WILLING TO ATTEND BIAS/ANTI-RACIST TRAINING WITHIN THE FIRST THREE MONTHS? YesNo
WHY ARE YOU INTERESTED IN SERVING ON THE OPEN HARVEST BOARD OF DIRECTORS?
WHAT SKILLS DO YOU BRING TO A BOARD OF A $4+ MILLION BUSINESS? BE SURE TO NOTE ANY RELEVANT BUSINESS EXPERIENCE YOU POSESS AND/OR POSITIONS OF LEADERSHIP IN FINANCE, COMMUNITY INVOLVEMENT, COOPERATIVES, EDUCATION, AND/OR BOARDS.
WHAT DO YOU FEEL ARE THE PRIMARY CHALLENGES AND/OR OPPORTUNITIES FACING OPEN HARVEST, AND HOW COULD YOU HELP TO MEET SUCH CHALLENGES/OPPORTUNITIES?
NEW CANDIDATES: WHAT IS YOUR MOTIVATION FOR RUNNING FOR BOARD? INCUMBENTS: WHAT DO YOU BELIEVE HAS BEEN YOUR MOST IMPORTANT CONTRIBUTION TO THE BOARD DURING YOUR TENURE?
I have read and agree to abide by Open Harvest’s Board Policy G.5 Code of Conduct and any subsequent changes the board makes to that policy: YesNo
I have completed the conflicts of interest disclosure form and returned it with my application. I also understand that I will have to disclose any conflicts of interest that should arise in the future: YesNo
Product Enquiry
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Gift Box #1: Certified Piedmontese SmallGift Box #2: Certified Piedmontese LargeGift Box #3: Small Cheese TrayGift Box #4: Large Cheese Tray
Quantity ---12345
Parmesan Cheese DipGorgonzola Cheese BallCharcuterie Plate
Quantity (per lb.) ---12345
Prime RibCornish Game HenBeef TenderloinSpiral Sliced HamWhole DuckWhole ChickenMushroom Walnut Loaf
Quantity (per lb.) ---1/41/2123
Prime RibMushroom Walnut LoafBaked Ham
Quantity (# dinners) ---12345
Green Bean AmandineTwice Baked PotatoesHerb Roasted Red PotatoesOrange Glazed CarrotsSquash, Cranberry & Quinoa SaladVegan Mushroom GravyRed Wine & Mushroom SauceNew England Clam ChowderHoliday Salad
Quantity (per ea.) ---12345
Quantity (per pt.) ---12345
Quantity (ea. serves 4) ---12345
Willamette Valley Pumpkin PieWillamette Valley Pecan PieWillamette Valley Vegan Pumpkin PieApple PieCherry PieStrawberry Rhubarb PieHouse Made Fudge
ChallahFruit ChallahStollenDinner Rolls (Squash)Dinner Rolls (Wheat)
Quantity ---1 x (6-pk)2 x (6-pk)3 x (6-pk)4 x (6-pk)5 x (6-pk)
Requested Pick-up Date (We will confirm via email) Requested Pick-up Time AMPM
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