Must Attach Resume

WORTHINGTON LIBRARIES Application for Appointment to the Board of Trustees

Date

Name

Address

Zip

Telephone (Day) (Evening)

Fax number E-mail address

Education

Occupation

How long have you lived in the Library's district? years.

Employment experience (firm and type of work)

Membership in community organizations (please list offices held, if applicable) as well as participation in civic activities.

Are you related to, or otherwise closely associated with, anyone now employed by Worthington Libraries or on the Board of Trustees? ______WORTHINGTON LIBRARIES

State briefly your reasons for wishing to serve on the Worthington Libraries Board of

Trustees.

Indicate what special skills, talents, interests, educational background or experiences qualify you to serve on the Library Board.

If chosen to serve on the Library Board, what would you want to accomplish during your seven-year term of office?

How did you find out about the trustee vacancy? (Check all that apply)

 Article in local newspaper  Library board member  Library website  Library employee  Library e-newsletter  Friend/Family member  Library social media sites  Other ______ Letter to you about vacancy

Please return this form with resume to: Theresa Messenger Email: [email protected] Worthington Libraries, Administrative Office Deadline: Monday, Oct. 2, 2017, by 5 p.m. 820 High St.

2 Worthington, OH 43085