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Southern Maine Library District Board Application
Please print, complete information below, and return to:
Nominating Committee, c/o SMLD Office, 5 Monument Square, Portland, ME 04101
Name (Mr. Mrs. Ms.) ______________________________________________
Employment _____________________________________________________
Title _____________________________________
Mailing Address __________________________________________________
Daytime Phone ___________________Evening Phone ___________________
Email __________________________________________________________
Previous Position ________________________________________________
Resume Enclosed Yes ____ No ____
Name of Library _________________________________________________
Education ______________________________________________________
Library School ___________________________________________________
Library Affiliations and Memberships
______________________________________________________________
______________________________________________________________
Other Information of Interest (publications, awards, etc.)
______________________________________________________________
______________________________________________________________
______________________________________________________________
I want to serve on the SMLD board because…
______________________________________________________________
______________________________________________________________
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Rev. 2/17/06