Nomination Form for Prospective Board Member for the Three Village Historical Society

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Mission Statement: The Three Village Historical Society works within the community to explore local history through education. Educational programs are developed by collecting and preserving artifacts, documents, and other materials of local significance and by doing research on the history of the people who have lived in the Three Village area from earliest habitation to the present.

Email *

Name of person to be nominated *

Email of nominee *

Address of nominee *

Phone number of nominee *

Membership or Affiliations in other organizations (as a member or board member) *

Employed or Retired? *

Currently Employed

Retired

Other:

Required

Volunteer commitments

Leadership skills

Nominated By

Relationship with TVHS Board, Staff or Founders

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