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Click ‘Get Form’ to open the Board Member Requirements Form in the editor.
Begin by filling out the 'Board Member Information' section. Enter the name of the board member, their home address, and contact details including phone number and place of employment.
Indicate whether the individual is an elected or appointed public official by selecting 'Yes' or 'No'.
Answer the questions regarding low-income residency and representation by checking the appropriate boxes for each question.
If applicable, provide additional comments in the designated field to clarify any specific circumstances related to the board member.
Repeat steps 2 through 5 for each additional board member as needed, ensuring all required information is captured.
Remember to complete and attach the Certification of Low-Income Representation form (WVHDF Form CHDO-101) as noted in the reminders throughout the form.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (104 Votes)
2009	4.2 Satisfied (47 Votes)

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