The Mary S. Biesecker Public Library
Teen Advisory Board Application
Please type or print
. Answers may be continued on a separate sheet of paper. If you have questions or need more information, contact the library at 814-445-4011 and ask for Tony.Complete this application and return it
to the Mary S. Biesecker Public Library.Name: ___________________________________________________________________________
Address: _____________________________________City:____________________ Zip: ________
Phone: ___________________ E-mail (if available): ________________________________________
School: _________________________________________________ Grade & Age: ______________
Current Extracurricular Activities: _______________________________________________________
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What are some of your hobbies and interests?
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Tell us why you are interested in being a part of the Teen Advisory Board.
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What skills, traits or special talents will you bring to the Teen Advisory Board?
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Can you suggest any changes or additions to improve the library’s services to teens?
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Would you be able to make a commitment to attend board meetings and help during TAB programs?
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Your Signature __________________________________________________ Date ______________
Parent’s Signature ________________________________________________ Date ______________
Mary S. Biesecker Public Library · 230 South Rosina Avenue · Somerset, PA 15501 · 814-443-2542