New Trustee Appointment Question Title * New Board Member Name: * Library: * Address: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: Phone Number: Question Title * Position President Secretary Member Question Title * Date of Current Appointment Question Title * Expiration of Appointment - June 30 (select one) 2013 2014 2015 2016 2017 2018 2019 Question Title * Appointing Authority (select one) County Commission Board of Education Municipality Question Title * Is this the Trustee's First Appointment? Yes No Question Title * Name of the board member the new appointee is replacing: Question Title * Additional information or comments Question Title * Please provide the following information in case there are questions: Name of person submitting information: Library: Email Address: Phone Number: Questions? Contact Susan Hoskins, WVLC Planning and Programs Consultant, at susan.p.hoskins@wv.gov or 304-558-3978. Done
