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Application for Consideration of Board Appointment- Generic

  1. City-Seal---300-Res-Address

  2. Application for Consideration of Board Appointment - Generic Form

  3. The Public Information Act (PIA) may allow for public review of this application upon request

  4. Application Type*

  5. Personal Information

  6. Title*

  7. Contact Information

  8. Are you a qualified voter in the city of Kerrville?*

  9. Do you live inside the city limits of Kerrville? *

  10. Employment

  11. To the best of your knowledge, are you employed by, or a member of, any entity (business or non-profit) with proposals, programs, requests, businesses, applications, licenses or any other matters which may come before a board or commission for review, funding, support or approval during the next two years?*

  12. Education and Experience

  13. Have you ever been a member of a board or commission?*

  14. Have you attended a board or commission meeting in the past 12 months?

  15. Certification

  16. I am not employed by the City of Kerrville. If appointed, I will notify the City of Kerrville of any changes in my residence or business, or of any other relevant changes that would affect my appointment. I will also notify the City if any potential conflicts of interest arise. I recognize that my appointment requires my regular attendance and participation at all scheduled meetings. Failure to do so may result in my removal. I am willing to make this commitment of time and effort. I understand and acknowledge that by selecting the 'I Agree' option below, I hereby certify that all information in this application is complete, truthful and accurate to the best of my knowledge.*

  17. * Some boards/commissions/committees require members to reside within the City limits. Please return completed form to the City Secretary's office for processing, 701 Main Street: 257-8000. Your application will be kept on file for 12 months.

    NOTE: Once this form is submitted, this will become a public document that may be disclosed per the Texas Public Information Act.

  18. Leave This Blank:

  19. This field is not part of the form submission.