Student Representative Application

Name

Date

Address

City

State/Province

Zip/Postal

Cell Phone Number

Home Phone Number

Email

How do you prefer to be contacted?

Cell Phone

Home Phone

Email

Text

Name of School

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email

My parent/guardian is aware that I am completing this application and has given me permission to apply.

I agree

How frequently do you use the Harford County Public Library?

Which branch do you use?

List any awards you have received:

List any school positions you have held:

List any extracurricular activities, including sports, hobbies, and community activities:

Summarize your qualifications for this position:

List three references, including the person’s relationship to you and a phone number at which they can be reached.

Write an essay on a) why you want to be a student representative to the Harford County Public Library Board of Trustees, and b) the contributions you hope to make by serving on the Board. The essay should be no more than two pages in length and submitted in PDF format.

Maximum file size: 516MB