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Application for Consideration of Appointment Kerrville-Kerr County Joint Animal Services Committee

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

  2. Application for Consideration of Appointment Kerrville-Kerr County Joint Animal Services Committee

  3. Is this a New Application or a Re-appoinment Application?*

  4. Personal Information

  5. Personal Information

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

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

  8. Employment

  9. 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?

  10. Education and Experience

  11. Have you been a member of a City of Kerrville commission, board or committee?

  12. 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 this board for review, funding, support, or approval during the next two years?

  13. Certification*

    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.

  14. Note:

    When filed at city hall, this will become a public document that may be disclosed per the Texas Public Information Act.

  15. Leave This Blank:

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