Teen Advisory Form

Corvallis-Benton County Public Library

Teen Advisory Group Membership Application
Date of Application

MonthDayYear
Name
Address
Phone
Email
School
Grade
Birthdate

MonthDayYear
Pronouns
Emergency Contact
Phone
Tell us about yourself and why you're interested in becoming a Teen Advisor!
1 Your major interests
2 Any volunteer experience you have:
3 Three books you read, LOVED, and recommend:
4 Are you willing to participate in teen events, programs, and volunteer workgroups?

YesNo
5 Why do you want to be a Teen Advisor?
6 Describe a library event you have gone to or one that youd invite a friend to
7 Imagine you are throwing a party for other teens How you would let other teens know about it
Signature

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Date

MonthDayYear
Questions? Contact Emily @ 541-766-6707 or emily.schilling@corvallisoregon.gov
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Corvallis-Benton County Public Library