TOWN OF CROSS ROADS
BOARD / COMMISSION APPLICATION
Please check the appropriate Board, Commission or Committee(s) you are interested in serving on:
If you are interested in more than one, please rate your preference.
___Architecture Review Board
___Municipal Development District
___Northeast P
olice Commission
___Planning & Zoning Commission
____________________________
We strongly encourage that a brief resume be submitted along with your application.
Please print legibly:
Name:
Email:
Address:
City:
Home Phone:
Work Phone:
Cell Phone:
Preferred Method of Contact?
Occupation, Experience / Degrees Held?
Do you currently preside on this Board/Committee/Board?
If so, how long have you been on this Board/Committee/Board?
Why do you want to serve on this group?
Do you have any potential conflicts of interest?
Do you have any related experience?
What do you feel you have to offer this group?
TEXAS PUBLIC INFORMATION ACT
Notice to Applicants: Once submitted, information contained in and included with this application is considered public record and must be released
if a
request is made. According to Texas Government Code Section 552.024
., The Public Information Act allows employees, public officials, and former
employees and officials to elect whether to keep certain information about them confidential. Unless you choose to keep it confidenti
al, the following
information about you may be subject to public release if requested under the Texas Public Information Act, Therefore, please
indicate whether you wish to
allow public release of the following information:
ALLOW PUBLIC ACCESS
NO
Home Address
Home Phone Number
Cell Phone Number
Personal Email Address
Official Signature
Official Name (Please Print Legibly)
Date Submitted
Received By
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signature
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