APPLICATION FOR APPOINTMENT TO THE BOARD OF TRUSTEES by ENz4Pd

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									           APPLICATION FOR APPOINTMENT TO THE BOARD OF TRUSTEES
                       SNYDER COUNTY LIBRARIES, INC.


NAME:________________________________     HOME PHONE:______________________
EMAIL:__________________________________ CELL PHONE:_______________________
ADDRESS:____________________________________________________________________
______________________________________________________________________________


OCCUPATION:_______________________________________ RETIRED?_______________
BUSINESS ADDRESS:__________________________________________________________
______________________________________________________________________________
BUS. PHONE: _______________________ BUS. EMAIL:______________________________


YOUR BACKGROUND: What education or skills would you bring to the Board?

____Accounting              ____Management    ____Public Relations
____Investments             ____Marketing     ____Knowledge of Library Services
____Office Skills           ____Fundraising   ____Professional Skills
____Social Skills           ____Education     ____Affiliations
Others: (Please Explain)__________________________________________________________

Charitable or Community Activities in which you have been involved: _____________________
______________________________________________________________________________


YOUR AVAILABILITY TO SERVE:
     Can you attend monthly Board Meetings, the 4th Tuesday of the month, January –
     November, the 3rd Tuesday of December? _______Yes ______No ______Most Times

       Can you attend other planned meetings and functions? ____Yes ____No
       Would you attend training sessions(s) for Board Members? ____Yes ____No


REFERENCES: Please list three people who know you well and their contact information:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


PLEASE CHECK ALL VOLUNTEER AREAS OF INTEREST:
____Personnel Committee ____Public Relations Committee    ____Building Committee
____Fundraising Committee ____Finance Committee           ____Other (Please explain)
____Capital Campaign      ____Long Range Planning Committee


Please see reverse side
Why are you interested in joining the Board?




What special qualities would you contribute to Snyder County Libraries, Inc.?




Please return completed application to:

Pamela G. Ross
Executive Director
Snyder County Libraries, Inc.
1 North High St.
Selinsgrove, PA 17870
(570)374-3271
scldir@ptd.net

								
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