Indication of Interest in FINRA Service Form

As you would like it to appear on official correspondence
Select the one that applies most closely to your situation
If other, please specify:
Current Registration (if Associated with a Firm)
Check all that apply
If other, please specify:
Select up to 3 choices
Identify any FINRA committees (including any committees not listed above) on which you are currently serving. Also, indicate whether you are a current or former member of FINRA’s Board of Governors.
Provide a brief biography or summary of your qualifications to serve on the committees for which you have indicated your interest. You may want to consider including your employment experience, areas of expertise, service on other industry-related boards and committees, etc. (No more than 500 words.)
Provide a statement of why you are interested in serving on a FINRA advisory committee, the NAC or the Board of Governors and how you hope to contribute. (No more than 500 words.)
Submitting this form does not guarantee a FINRA committee, Board, Foundation Board, or NAC seat appointment or outreach by FINRA staff.