2024 Board Member Application Form
1.
First & Last Name:
2.
Personal Email:
3.
Home Address:
4.
Home/Cell Phone:
5.
Applicant Employer:
6.
Position Title:
7.
Employer Address:
8.
Work Email:
9.
Work Phone:
10.
Years with Business:
11.
Do you have any previous Chamber involvement?
Yes
No
12.
I have served on a committee with the Menomonie Area Chamber.
Yes
No
13.
I have served on the following committee:
14.
I have been involved with the Menomonie Area Chamber in the following ways:
15.
I have served on a Board/committee with another Chamber.
Yes
No
16.
Which other Chamber have you been involved with?
17.
Please provide a brief biography including your background and interests.
18.
Why are you interested in serving on the Menomonie Area Chamber & Visitor Center's Board of Directors?
19.
Please describe skills or specific areas of expertise that you could contribute to the Menomonie Area Chamber & Visitor Center Board/team.
20.
Please describe any potential conflicts of interest with serving on the Menomonie Area Chamber's Board of Directors.
21.
Please list other forms of personal/professional community involvement, including information about other committees/Boards you have served on or currently serve on.
22.
Once this application is complete, it will be shared with the Chamber CEO. The Chamber CEO then distributes applications to the Nominating Committee for consideration. A committee member will contact you by phone/email in accordance with the application process timeline. Questions should be directed to ceo@menomoniechamber.org or 715-235-9087.
By electronically providing my first and last name below, I acknowledge that I have reviewed the Board of Directors eligibility, qualifications and commitments.
