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Application for Consideration of Board Appointment- Generic

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

  2. Application Type*

  3. Title*

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

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

  6. 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?*

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

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

  9. 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.*

  10. Leave This Blank:

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