|
Board
Member Application
Name
___________________________________
Date ______________________
Address_________________________________________________________________________
Telephone (Home)
_______________________ (Work) __________________________
E-Mail
Address ________________________________________
Occupation
____________________________________________
The CILNM Board of Directors meets approximately six times per year on alternate
months on the third Thursday at 2:00 p.m. In
addition there may be committee and/or community work which you will be involved
in which will pose a larger time commitment. Can you make this commitment to
CILNM?
_________________________________
Briefly describe why you wish to serve on the CILNM Board of Directors:
Briefly
describe your experience with disability:
Please Print,
Complete and Mail To:
CILNM
2104 6th Ave E
Hibbing MN 55746
| 
