Fillable APPLICATION FOR CITY OF MIDLAND BOARDS/COMMISSIONS/COMMITTEES As an (City of Midland Texas (TX))

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APPLICATION FOR CITY OF MIDLAND BOARDS/COMMISSIONS/COMMITTEES As an (City of Midland Texas (TX))

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APPLICATION FOR CITY OF MIDLAND
BOARDS/COMMISSIONS/COMMITTEES
As an applicant for a City board, commission, or
committee, please be advised that all information on this
application is subject to the Texas Open Records Act and
will be available to the public.
PLEASE TYPE OR PRINT CLEARLY: Date: __________
Name:______________________________________ Phone: (Home)
Address:____________________________________ (Business)
___________________________________________ Email:___________________________
(City) (State) (Zip)
I am I am not a U.S. Citizen
Please tell us about yourself: Are you a graduate of Midland 101? ____yes ______no
I have lived in Midland _____ years. Occupation:____________________________________
Professional and/or Community Activities:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
What is your personal vision for the City?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Please specify any time constraints you may have.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Please list below the Board(s) or Commission(s) on which you are interested in serving:
(You can find a complete and current list on the City’s website at www.midlandtexas.gov)
(1) Name of Board/Commission:
___________________________________________________________________________________________
____________________________________________________________________________________________
___________________________________________________________________________________________
Please tell us why you are interested in serving on this board or commission.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
What contribution would you most like to make?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Additional pertinent information or references:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
(2) Name of Board/Commission:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
What contribution would you most like to make?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Additional pertinent information or references:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Applications are maintained on file in the City Secretary’s office for a period of one year. Should you need
additional information, please call us at 432-685-7430.
Signature of Applicant
__________________________________________________
Applications may be submitted online via email or print in order to send by mail or fax:
City of Midland
City Secretary's Office
PO Box 1152
Midland, TX 79702
FAX: (432) 685-7433
Submit Via Email
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APPLICATION FOR CITY OF MIDLAND BOARDSCOMMISSIONSCOMMITTEES As an (City of Midland Texas (TX))

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Completed 13 July 2020

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