Trustee Application Form

First Name

Last Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

The Board looks for candidates who can bring demonstrated leadership and expertise to its membership. Please take a few moments to answer the following questions:

Why do you want to be a Trustee?

How long have you resided in the Library District?

What is or was your occupation?

With what groups/organizations are you associated, either as current or past member?

Please list any Library District activities or functions in which you have participated.

If you checked Other, please explain:

Please share any additional information you would like us to consider.

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Jefferson County Library

Trustee Application Form