<p> Must Attach Resume </p><p>WORTHINGTON LIBRARIES Application for Appointment to the Board of Trustees</p><p>Date </p><p>Name </p><p>Address </p><p>Zip </p><p>Telephone (Day) (Evening) </p><p>Fax number E-mail address </p><p>Education </p><p>Occupation </p><p>How long have you lived in the Library's district? years.</p><p>Employment experience (firm and type of work) </p><p>Membership in community organizations (please list offices held, if applicable) as well as participation in civic activities. </p><p>Are you related to, or otherwise closely associated with, anyone now employed by Worthington Libraries or on the Board of Trustees? ______WORTHINGTON LIBRARIES</p><p>State briefly your reasons for wishing to serve on the Worthington Libraries Board of</p><p>Trustees. </p><p>Indicate what special skills, talents, interests, educational background or experiences qualify you to serve on the Library Board. </p><p>If chosen to serve on the Library Board, what would you want to accomplish during your seven-year term of office? </p><p>How did you find out about the trustee vacancy? (Check all that apply)</p><p> 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</p><p>Please return this form with resume to: Theresa Messenger Email: tmessenger@worthingtonlibraries.org Worthington Libraries, Administrative Office Deadline: Monday, Oct. 2, 2017, by 5 p.m. 820 High St.</p><p>2 Worthington, OH 43085</p><p>3</p>