NORTHEAST WASHINGTON

FORESTRY COALITION

www.NEWCommunityForestry.org

Board Membership Application

Name: ______________________________________________________

Mailing Address: ______________________________________________

Telephone Number: work: ______________ home:___________________

Cell: _____________ Fax: _____________________

Email Address: ______________________ Website: __________________

Date: ______________ _________________________________

Signature

_________________________________

Print Name

Please provide a brief biography of yourself that will be used for the Board elections and for the Coalition web-page if you are seated upon the Board of Directors. You will be asked to give a very brief statement as to why you wish to serve on the Board and what resources or interests you bring to the Board at the Coalition’s Annual Meeting.

Revised June 16, 2005