Membership interest: Library Advisory Board

Multnomah County Library empowers our community to learn and create. The volunteer and citizen-led Library Advisory Board helps. The Library Advisory Board currently meets monthly on the second Tuesday of each month at Central Library or Midland Library at 7:30 am. We advise the library director and the Library District Board on policy and budgetary decisions, and are thrilled that you are about to apply to join us. Thank you!

The purpose of this form is to introduce yourself and share some information that will be useful in considering appointments. Please note that the information provided in this document will be treated as public information.

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Your name *

Street address *

City/State/Zip *

Email address *

Daytime phone number

Are you a resident of Multnomah County? *

Yes

Which Multnomah County Library do you use most?

What will you contribute to the Library Advisory Board?

How did you hear about the Library Advisory Board? *

Employment/volunteer activities

Please list employment experiences and volunteer activities that relate to your service.

Activity #1

Dates (From/To)

Employment/volunteer activities

Activity #2

Dates (From/To)

Employment/volunteer activities

References

Please list two or three people who can be contacted as personal references.

Reference #1

Name

Daytime telephone

Relationship

Reference #2

Name

Daytime telephone

Relationship

Reference #3

Name

Daytime telephone

Relationship

Optional information

The following information is optional. You are under no obligation to provide this information, however, it will help us ensure that appointments represent a broad cross-section of our community.

Age

Gender

I affirm that all information provided is true to the best of my knowledge. I understand that any misrepresentation of credentials or misstatement of fact may result in this application being removed from further consideration or any appointment being withdrawn.

Please note that appointments to the Multnomah County Library Advisory Board are subject to approval by the Multnomah County Library District Board during a regular Board meeting.

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Membership interest: Library Advisory Board

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