Saratoga County - Moreau Community Center - South Glens Falls, New York

Board of Directors Application

First Name	Last Name
Address
City	St Zip
Home Phone	Work Phone
Email
Applying as	Adult Member Student Member
Why would you like to be a member of the Moreau Community Center Board of Directors?

Home much time would you be able to give in support of the new Regional Community Center at Moreau and what expertise do you have that would benefit the building of the new center?

Please list 3 personal references below. (Include name, address, a phone number for each)

Moreau Community Center Inc.
PO Box 1456 • 144 Main Street • South Glens Falls, New York 12803
Phone (518) 792-6007 • Fax (518) 792-0837 •