City of Abilene
Boards & Commissions Application
Your Information
YES NO
HOME ADDRESS CITY STATE ZIP
AN ABILENE RESIDENT
MAILING ADDRESS CITY STATE ZIP
OCCUPATION/FORMER OCCUPATION
VOTER REGISTRATION NUMBER or DATE OF BIRTH*
*Note: For specific boards, being a registered voter is required. The city can only verify through this through a voter registration number or date of birth.
Previous Experience on Boards, Commissions, or Other Civic Organizations
Please describe your education, professional affiliations, special knowledge, qualifications or expertise that relates to your possible
appointment (attach additional sheets if needed): ________________________________________________________________
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Please give a brief statement of why you would like to be appointed to a Board or Commission: ______________________________
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While there is no guarantee of an appointment, all applications will be considered equally. Applications will be kept on file for one
year and then either updated or withdrawn by the applicant. Please list the boards you are interested in serving:
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Recognizing that serving on a Board or Commission is often time consuming and most meet on a monthly basis, are you committed to
attending all regularly scheduled meetings? YES I CAN TRY
I have attended one or more meetings of the board or commission for which I have applied.
YES NO
Applicant Signature _________________________________________________ Date ______________________________
FOR OFFICE USE ONLY
DATE APPLICATION RECEIVED: _____________________________________ NEW APPLICANT? YES NO REAPPOINTED
IF NO, APPLICANT PREVIOUSLY SERVED ON: ______________________________________________________________________________
APPLICANT APPOINTED TO: _____________________________________________________ TERM EXPIRES: ________________________
FULL TERM UNEXPIRED TERM ALTERNATE MEMBER EX-OFFICIO
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