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...

Thank you, your submission has been received.

Sign up for updates from Shelbyville - Bedford County Public Library

Website Accessibility Statement