CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN, INC.
2920 Schneider Avenue E
Menomonie, WI 54751
Board of Director’s Application Form
Please attach a resume or a brief summary of your background.
| Name | |
| Phone | |
| Address | |
| County | |
| Occupation | |
| Employer |
| Affiliation with other organizations | |
| Other Board experience | |
| Areas of special interest | |
| Reason for wanting to be a CILWW Board Member | |
References
| Name | Address | Phone |