Board Application

Application for Board of Trustees Membership

Lomira QuadGraphics Community Library
Name

First Name Last Name

Address

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
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.
Should be Empty:

Application for Board of Trustees Membership