Clean Lakes Alliance Board Application

Thank you for your interest in serving on the Clean Lakes Alliance Community Board!

You may also print the Clean Lakes Alliance Board application and submit it by email.

Download a copy of the Clean Lakes Alliance Board Expectations Agreement.

Clean Lakes Alliance Board Application

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Step 1 of 2

Name*
Preferred mailing address*

Home Contact Information:

Address*

Employer Contact Information:

Work/Organization Address*

Background and Experience

Boards or committees on which you are serving or have served:*
E.g. business, civic, community, fraternal, political, professional, recreational, religious, social
Organization
Role/Title
Dates of Service
 
Please list other group affiliations in which you can act as a liaison or partner while on the board:*

Skills, experience, and interests

SKILLS related to services on the Clean Lakes Alliance Board (Please check all that apply)*
INTERESTS related to services on the Clean Lakes Alliance Board (Please check all that apply)*
Please list any education/training/certificates you have.*
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    Please check any committees on which you are currently serving, have served, or are of interest: