Application For Board Appointment Form - City Of Terrell, Texas
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1
2City of Terrell
Application for Board Appointment
TO:
Terrell City Council Members
DATE: ________________________________
FROM:
__________________________________________________________________
Address:
_______________________ City:_________________ State:_____ Zip:______
Home Phone No. (_____)______-_________
Office Phone No. (_____)_____-_________
Cell Phone No. (_____)______-_________
Email Address:
Occupation and Place of Employment:
__________________________________________
Are you a resident of Terrell? Y / N
How many years? ___________
Qualification and experiences that you consider would make a contribution to a City of Terrell Board or
Commission: (If you need more space than provided, please attach a separate sheet. Please include a resume’ if you
care to do so.)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
________________________________________________________________________________________________
I would like to serve on the following board(s) (indicate with a
): (Please limit your selection to 4 City Boards /
Commissions) Council preference is that citizens should serve on no more than one (1) board at a time
_____ Airport Board
_____ Park Board
_____ Civil Service Commission
_____ Planning & Zoning Commission
_____ Building Standards Commission
_____ Economic Development Corporation
_____ Library Board
_____ Zoning Board of Adjustments
_____ Tax Increment Financing Reinvestment _____ Hospital Board
Zone Number One Board
_____ Committee for Airport Naming Issues
Have you Attended:
Terrell Citizen Police Academy? Y / N
Terrell Citizen University? Y / N
Kaufman County Leadership Program? Y / N
__________________________________
Signature of Applicant
Office Use Only:
Date Received:_____
New Appointment: _____
Appointment Renewal: _____
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