Library Board Application Which do you live in? (required) City County First Name (required) Middle Name Last Name (required) Address (required) Address 2 City (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...Submit Thank you, your submission has been received.
