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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.

Clean Lakes Alliance Board Application

"*" indicates required fields

Step 1 of 2

Name*
Preferred method of contact

Residence

Address*

Employer

Work Address

Background and Experience

Please list boards and committees that you serve on or have served on.
E.g. business, civic, community, fraternal, political, professional, recreational, religious, social
Organization
Role/Title
Dates of Service
 
Please list any education/training/certificates you have.
Have you received any awards or honors that you would like to mention? (Optional)

Skills, experience, and interests

Skills, experience, and interests (select all that apply)
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Clean Lakes Alliance.
Please select any Clean Lakes Alliance committees on which you currently serve, or for which you are interested in serving.