Please refer to the board member qualifications and terms before applying:
https://www.appliedclientnetwork.org/Get-Involved/Apply-for-Board-of-Directors

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* 1. Name:

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* 2. Agency/Brokerage:

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* 3. Job Title:

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* 4. What's your primary responsibility within the agency/brokerage? Where do you spend your time?

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* 5. City:

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* 6. State/Province:

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* 7. Zip/Postal Code:

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* 8. Country:

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* 9. Is your agency/brokerage part of a larger company/franchise? If so, please list the company/franchise name. If not, enter N/A.

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* 10. Have you reviewed the member qualifications/time commitment?

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* 11. Have you confirmed your employer’s support for serving on the Applied Client Network Board?

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* 12. Are you prepared to meet the expectations of your role on the Board for the entire three-year term?

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* 13. Are you able to travel up to three times a year for Board related trips within the US and Canada?

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* 14. Please indicate which Applied products you currently use:

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* 15. How many Applied licenses does your agency/brokerage have?

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* 16. To the best of your knowledge, will your agency/brokerage remain an Applied customer for the duration of your Board tenure?

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* 17. Describe your work history for the last ten years, highlighting any managerial, project management, people management, strategic planning, or financial responsibilities. Please include details on number of direct/indirect reports, size of budgets managed, etc.

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* 18. Please briefly describe your role in supporting your organization's technology products and/or services.

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* 19. How would you describe your leadership style? What are your core values as a leader?

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* 20. What is your knowledge or experience in dealing with strategic issues? Please provide detailed examples.

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* 21. What do you enjoy doing/learning more about? Areas of expertise/strengths/interests?

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* 22. In your opinion, what are the two biggest challenges facing Applied Client Network or the insurance industry over the next five years? What strategic direction do you think ACN should take to face those challenges?

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* 23. Describe your experience in working collaboratively with others.

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* 24. What is your relationship with Applied Systems employees and products in your current role?

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* 25. How do Applied Systems products play into the strategic direction of your company as a whole?

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* 26. How many years have you (individual) been an Applied Client Network member?

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* 27. Please outline your current or past experience as an Applied Client Network member or volunteer, including dates of volunteer service, chapter membership, or education contributions. Please also list any other volunteer experiences you have held or leadership positions you have served (ie. board/committee positions).

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* 28. What is your interest and vision for Applied Client Network and its Board and what do you believe you can offer by becoming a member of the Board?

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* 29. Share a time where you led a group of individuals toward a common goal.

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* 30. Provide any additional information you feel might be relevant to your candidacy for the Applied Client Network Board.

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