Questionnaire for Prospective Members of the Board of Trustees

Date *

Name *

Address/Zip Code *

Home Phone

Work Phone

Cell Phone

Email *

Education *

Occupation *

Please describe your general employment experience (type of work): *

Please describe your membership in community organizations (including offices held, if applicable) and participation in civic activities: *

Are you related to, or otherwise closely associated with anyone now employed by Ritter Public Library or on the Board of Trustees? *

Yes

No

If yes, please describe the relationship:

Briefly state your reasons for wishing to serve on the RPL Board of Trustees: *

Indicate what special skills, talents, interests, educational background, or experiences qualify you to serve on the RPL Board of Trustees: *

If chosen to serve on the RPL Board of Trustees, what would you want to accomplish during your seven-year service term? *