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~A* Lane Workforce <br /> Partnership <br /> <br /> BOARD MEMBERSHIP APPLICATION <br /> <br />Telephone: FAX: E-Mai~: <br />Address: <br />Business,/Employer: <br /> usin s ddress:st et'm° °X , State <br /> Zip <br />Business Web Page Addre&s: <br />Occupatio~Title: ~ <br /> <br /> Sex: ~emale Age: Race: ~Caucasi~ ~ Asian / Pacific Isl~der <br />  ~lack ~ Native Am / Alaskan Native <br /> ~ Male ~ Hispanic D Other <br /> <br />Reason for Applying: <br />mom 1-01,01/24,02 LWP <br />AUG 1 6 200~ <br /> <br /> <br />