Application for Board of Trustees Membership
Lomira QuadGraphics Community Library
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
E-mail
Check all that apply:
I am a regular library patron.
I attend library programs such as book club, Story Time, etc.
I am a member of the Friends of the Library.
I subscribe to the library newsletter.
None of the above.
Please summarize special skills and/or qualifications you have acquired from employment, previous volunteer work, or through other activities such as hobbies or sports.
Please summarize your reasons for wanting to become a member of the Board of Trustees.
Date
-
Month
-
Day
Year
Date Picker Icon
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an applicant, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
I agree.
Submit
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