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Application for City Board, Commission, or Committee

3. 

5. APPLICATION FOR CITY BOARD, COMMISSION, OR COMMITTEE

7. Thank you for your interest in serving on a Board, Commission, or Committee for the City of Nassau Bay. Form information will be submitted to the Office of the City Secretary, and then forwarded to the appropriate committee for candidate selection. This application will be retained for one (1) year.

   Thank you for your interest in serving on a Board, Commission, or Committee for the City of Nassau Bay. Form information will be submitted to the Office of the City Secretary, and then forwarded to the appropriate committee for candidate selection. This application will be retained for one (1) year.

9. Full Name

10. Date of Application
    Date of Application

12. Home Address

14. Daytime Telephone

15. Evening Telephone

17. Email Address

18. Fax Number:

20. Mailing Address (if different from Home)

22. Occupation

23. Employer

25. Appointed Position Desired (check all that apply)

    1. Board of Adjustment
    2. Planning Commission

    1. Economic Development Corporation
    2. Parks & Recreation Committee

    1. Special Events Committee
    2. Other

27. Describe Your Interest & Qualifications for the Position Desired

29. Have you served on the Nassau Bay City Council?

    1. Yes

    1. No

30. Have you served on another City's Council?

    1. Yes

    1. No

32. Have you served on a Nassau Bay City Board, Commission, or Committee?

    1. Yes

    1. No

33. Have you served on another City's Board, Commission, or Committee?

    1. Yes

    1. No

35. Have you served on the board of a homeowner's association?

    1. Yes

    1. No

36. Have you attended Nassau Bay 101?

    1. Yes

    1. No

38. Describe Your Volunteer Experience

    If you answered yes to previous volunteer service on a Board, Commission, Committee, or Homeowner's Association, or have other relevant outside experience, please describe your volunteer service here.

40. How long have you been a resident of Nassau Bay?

41. How long have you been a resident of Texas?

43. I understand that appointments are solely at the discretion of Council and that this application is not the only basis of candidate selection. <br> <br> If appointed, I will accept the position and faithfully serve to the best of my ability.

    I understand that appointments are solely at the discretion of Council and that this application is not the only basis of candidate selection.
    
    If appointed, I will accept the position and faithfully serve to the best of my ability.

45. Signature

46. Date Signed
    Date Signed

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field