OCEAN SHORES PUBLIC LIBRARY TEEN ADVISORY BOARD APPLICATION

If you have any questions or need more information, contact Michelle Traer, Library Assistant & Teen Services, 360-289-3919, or mtraer@osgov.com

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:

1. Regular participation in activities.
2. 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 _______________________

Drop this application off at the library or mail to:

Ocean Shores Public Library
573 Pt. Brown Ave NW
Ocean Shores, WA 98569