Join the Board

Applicant Information

Tell us how to contact you and which community you are most closely connected to.

Full Name *

Street Address *

City *

State *

ZIP *

Primary County *

Phone

Email

Preferred Contact Method *

Interest in Board Service

Why are you interested in serving on the WYO HELP Board? *

Which board sector do you believe you may represent? * It is fine to select Unsure. WYO HELP can help determine which sector may be appropriate.

Low-Income Representation

This sector helps ensure that the perspectives and interests of low-income individuals and families are represented in WYO HELP governance.

Please describe your lived experience, community connection, or other basis for low-income representation.

Elected Officials & Public-Sector Representatives

These members connect WYO HELP with public systems, local government, community planning and the policy decisions that affect the counties we serve.

Please identify your elected office, agency, jurisdiction, or public-sector role.

Community & Private-Sector Representatives

These members may represent business, finance, faith communities, nonprofits, education, healthcare, law, public safety or other major community interests.

Please describe the organization, profession, business, faith community, nonprofit, or other community interest you represent.

Experience & Perspective

Current Employer / Organization

Current Position / Role

Please tell us more about the experience, knowledge, or perspective you would bring to the board. *

Community Connection

Which WYO HELP county or counties are you most connected to? *

Carbon Crook Goshen Niobrara Washakie Weston

How are you connected to this community or these communities? *

What community issues do you believe WYO HELP should be paying attention to? *

Is there a specific population, community, profession, or perspective you believe is underrepresented in local decision-making?

Board Participation

Are you able to participate in regular board meetings? *

Are you comfortable participating by video conference when needed? *

Are there accommodations or supports that would help you participate fully as a board member? Optional. Providing this information will not affect consideration of your application.

Do you currently serve on any other boards, councils, commissions, or community organizations? *

Please list the boards, councils, commissions, or organizations on which you currently serve.

How did you hear about this board opportunity?

Applicant Acknowledgments

I understand that submitting this application does not guarantee appointment to the WYO HELP Board of Directors.

I understand that board service includes governance, oversight, meeting participation, review of organizational information, and acting in the best interests of WYO HELP.

I understand that WYO HELP may contact me for additional information or an interview before any board appointment is considered.

Certification & Signature

By submitting this application, you certify that the information provided is accurate to the best of your knowledge.

Typed Signature * Type your full name exactly as entered at the top of the form.

Date *

When you select Submit Application, your application will be transmitted to WYO HELP and retained as part of the board recruitment and review process.

Join the WYO HELP Board

Your Perspective Matters

WYO HELP Board Member Application