WACY BOARD APPLICATION

Name ________________________________

Mailing Address __________________________________________________________

Email Address ___________________________________

Number of years involved in DI/OM _______

Why do you want to serve on the board?

Describe what skills and talents you might offer to the board.

Please send the application to:

Wyoming Association for Creative Youth

Jerri and Doug Maulik

423 E. Madison

Riverton, WY 82501