Application for Citizen Boards and Commissions

Applicant Information

First

Middle

Last

Suffix

Home Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Mailing Address (if different)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Primary Phone Number

Alternate Phone Number

Email Address

Employer (If self-employed, give business name)

Please indicate what board you are applying for.

Are you currently serving on a board or commission?

Yes - Seeking reappointment

No - New applicant

No - Not currently serving, but have served in the past

Have you ever attended a Board or Council meeting?

Yes

Availability

Daytime (8:00am - 5:00pm)

Evening (after 5:00pm)

Residency

Are you a resident of Glen Rose and/or Somervell County?

Glen Rose

Somervell County

Not a resident

Are you registered to vote in Glen Rose and/or Somervell County?

Glen Rose

Somervell County

Not a registered voter

Are you a property owner within the City?

Yes

Do you or a family member own a business within the community?

Yes

Please indicate which category of the local economy you represent.

Reason for Applying

Educational Background

Occupational Background

Relevant Experience

Community Involvement

Required for Historic Preservation Applicants ONLY

Please indicate any professional experience in the following fields:

N/A - I am not applying for the Historic Preservation Commission

Architecture

History

Urban Planning

Real Estate

Legal

Archaeology

Other disciplines related to historic preservation

Submit Application

By submitting this application, I certify that the information I have provided is true and correct to the best of my knowledge. I understand that information may be subject to disclosure under the Texas Public Information Act.

Date

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