Application

Nesmith Library

Teen Advisory Group (Ages 13 and up)

Name________________________

Grade_________

Address__________________________

________________________________

Phone________________________

E-mail_________________________________

Please list evenings/times that you are NOT available to meet:

________________________________

________________________________

Please list any skills, hobbies, or interests:

________________________________

________________________________

Please feel free to bring interested friends with you to the meetings. 

New members are always welcome!

________________         _____________

Signature                                   Date