YOUTH INITIATIVE HIGH SCHOOL

Waldorf Initiative in Viroqua, Wisconsin, USA

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YIHS Board Member Candidate Form

Name:

Address:

Phone:

Email:

I am interested in offering my services to the Board of Directors of the Youth Initiative High School beginning June 2007 for a 2-year term, 3-year term, or any term (please circle).

If elected I will ……… (Please describe your qualifications, intentions, hopes, goals concerning the YIHS. Use additional pages if necessary. Print out this form and deliver to the YIHS office (Att: Conrad), 500 E Jefferson St #302, Viroqua WI 54665 by April 15, 2007 or earlier.)