South Sioux City Public Library



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South Sioux City Public Library



Youth Board Application

Please fill out the following information and return to the South Sioux City Public Library.


Name: __________________________________________________________

Gender: Female Male Birthday: _____________ Age: ________

Address: _________________________________________________________

Phone: ________________________

Email address: ______________________________________

School: _________________________________________ Grade: __________



What is the best way to contact you? Phone ______ Email ______
Parent/Guardian Name: _____________________________________________
What are some of your hobbies, interests, activities?
What have you read lately? What books would you recommend to other children?
What changes would you suggest that would make the South Sioux City Public Library better for children?
Have you volunteered in a library before? Yes ______ No ______
I am aware that my child is applying to the Youth Board at the South Sioux City Public Library. I have read the accompanying information regarding the Youth Board and I give him/her permission to attend Youth Board activities. I understand my child is applying for a year of service.

Parent/Guardian Signature:_______________________________ Date: __________

Child Signature:______________________________________ Date: __________
If you have any questions about the South Sioux City Public Youth Board or the application, please contact

Odessa Meyer (telephone: (402) 494-7545, email: omeyer@southsiouxcity.org)

Schelese Myott (telephone: (402) 494-7545, email: smyott@southsiouxcity.org)
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