APPLICATION FOR MEMBERSHIP BOARD OF TRUSTEES
DTA CENTER FOR LEARNING & GROWING

Name:_______________________________________

Address:________________________________________________________________________

Phone:______________________ Best time to call: _____________________

1. Please write a short biographical sketch of yourself ~ including work and life experiences, and your areas of interest.

 

 

2. Are you familiar with the DTA Center for Learning & Growing? In what capacity have you experienced it?

 

 

3. What is your relationship to the learning center? How did you come to us?

 

 

4. What do you feel you have to offer DTA by being a Board member? Please be sure to mention your specific talents and abilities.

 

 

Please return this completed form to:
The Board Development Committee
DTA Center for Learning & Growing
102 Main St. Ste A
Ellsworth , Me 04605

We look forward to hearing from you!