Library Board Application

Which do you live in? (required)

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First Name (required)

Middle Name

Last Name (required)

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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)

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