Move United Competition Committee Annual Commitment Form

Personal Information

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth*

Professional Organization*

Job Title*

Concise Professional Bio (as if it were to be published)*

Member Affiliation, if applicable

Athletic background, if applicable

Disability*

Disability Not Listed*

Please complete if your disability was not listed above.

I identify my race as (select all that apply):*

White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
Not listed
Prefer not to answer

Race Not Listed*

Please complete if your race or origin was not listed above.

Specify Origin: (example Chinese; Indian; Afghan; Filipino; Iranian; etc.*

I identify as being of Hispanic, Latino or Spanish Origin:

Specify Origin (example Mexican, Puerto Rican, Cuban, Dominican, Colombian, Spaniard, Ecuadorian, etc.)*

I identify my gender as:*

I prefer to self-describe my gender as:*

Do you consider yourself a member of the Lesbian, Gay, Bisexual, Transgender and/or Queer (LGBTQIA+) community?*

Are you an active or retired member of the Military?*

Shirt Size*

Other Size*

Committee Involvement

Please check the area(s) of interest that you feel would enable you to best serve the organization.*

Other Area(s) of Interest

How do you foresee yourself contributing as a Committee Member?*

Upload Headshot Photo Here*

Accepted file types: jpg, png, Max. file size: 64 MB.

Upload SafeSport Certificate*

Max. file size: 64 MB.

Upload Signed Conflict of Interest*

Max. file size: 64 MB.

I agree to the Competition Committee member responsibilities listed below.*

Yes
No

I understand that as a volunteer with the Move United Competition Committee that I have a responsibility to ensure the organization does the best work possible in pursuit of its mission and goals. I believe in the mission of the organization and will act responsibly and prudently as its steward. My behavior as a Competition Committee member will be consistent with the core values and mission of the organization. As part of my responsibilities as a Competition Committee member: 1) I will interpret the organization's work and value to the community, represent the organization in a positive manner, and serve as a Brand Ambassador. 2) I will attend and actively participate in a minimum of 75% of all meetings conducted throughout the year and be accessible to answer inquiries. 3) I will RSVP my attendance for Competition Committee meetings at least one day in advance to Jessica Cloy. 4) I will act in the best interests of Move United. 5) I will disclose any conflict of interest and excuse myself from any discussions, where applicable. 6) I will stay informed about the activities and current issues of Move United. I will be engaged and request information as needed. 7) I will complete SafeSport training by 3/15/24 or at the time my training must be renewed as dictated by SafeSport. 8) I will complete a Move United National Center for Safety Initiatives (NCSI) background check by 3/15/24 or as requested by Move United if my current screening is still valid.