Cable 7

BOARDMEMBER INTEREST FORM

Date of Application:
First Name:	Last Name:
Home Phone:	Work Phone:
Email address:
Mailing Address:
City:	State:	Zip:
Employment (Firm and occupation):
Present service activities (i.e. church, scouting, civic, etc.):
Interests/Hobbies:
What special experience or education do you have for serving on the Cable 7 Board?
Why are you interested in serving on this board?
Additional comments:

Cable 7 Public Access
P.O. Box 5021
Great Falls, MT 59403
kmanthey@greatfallsmt.net
Phone: (406) 761-8123