Board Membership Application


CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN, INC.
2920 Schneider Avenue E
Menomonie, WI 54751

Board of Director's Application Form

Please attach a resume or a brief summary of your background.

Name  
Phone  
Address  
County  
Email  
Occupation  
Employer  

Affiliation with other organizations  
   
Other Board experience  
   
Areas of special interest  
   

Reason for wanting to be a CILWW Board Member  
   
   
   

References

Name Address Phone