Name:___________________________________________________________________________
Address: ________________________________________________________________________
_______________________________________________________________________________
Home Phone:____________________________ Alternate Phone: ___________________________
E-mail:__________________________________________________________________________
School (Home schooled teens welcome!): ______________________________________________
Grade: __________________________________________________________________________
Why do you want to be a member of the Teen Advisory Board? ____________________________
_______________________________________________________________________________
_______________________________________________________________________________
Do you have any ideas that you would like to see the Teen Advisory Board develop?
If so, give us example(s). __________________________________________________________
_______________________________________________________________________________
The Teen Advisory Board meets for at least one hour each month.
Can you commit to meeting one hour a month? __________ Yes __________ No
What are some of your hobbies and interests?
___________________________________________
________________________________________________________________________________
Are you required to fulfill a specific number of volunteer hours? __________ Yes __________ No
If yes, how many? ________ By when: ___________Required by: __________________________
Emergency Contact Information:
Name: ______________________ Phone #: __________________ Cell #: ____________________
Please Read Carefully Before Signing
I understand and agree that participation in the Ocean Shores Public Library Teen Advisory Board is conditional on:
- Regular participation in activities.
- Parent/guardian signature on this application form.
For public awareness activities, the photographing and videotaping of events may be necessary. Photographs or video will not be sold and will be used only to promote the Ocean Shores Public Library.
Applicant's Signature____________________________________ Date _______________________
I am aware my teen is applying to be a member of the Ocean Shores Public Library’s Teen Advisory Board.
Parent/Guardian Signature__________________________________ Date __________________ |
Drop this application off at the library
or mail to:
Ocean Shores Public Library
573 Pt. Brown Ave NW
Ocean Shores, WA 98569 |