Library Board ApplicationWhich do you live in? (required)CityCountyFirst Name (required)Middle NameLast Name (required)Address (required)Address 2City (required)US State (required)Zip (required)Phone # (required)Email Address (required)How many years have you lived in Bedford County? (required)Please provide a detailed description of your community involvement below: (required)Please provide a brief summary of why you would like to serve on this board: (required)If appointed to the board identified above, are you aware of any potential conflicts of interest you may have in regard to business before the board? If so, please describe: (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.