CITY BOARD APPLICATION FORM
The purpose of this form is to furnish information to the Mayor and City Council regarding those persons who
may desire to volunteer their time and services to the City of Temple by serving on one or more of the following
boards and/or committees:
AIRPORT ADVISORY BOARD ANIMAL SERVICES ADVISORY BOARD
BUILDING & STANDARDS COMMISSION BUILDING BOARD OF APPEALS
CIVIL SERVICE COMMISSION DEVELOPMENT STANDARDS ADVISORY BOARD
LIBRARY BOARD PARKS & RECREATION SERVICES ADVISORY BOARD
PLANNING
& ZONING COMMISSION REINVESTMENT ZONE NUMBER ONE
TEMPLE PUBLIC SAFETY ADVISORY BOARD TEMPLE ECONOMIC DEVELOPMENT CORP.
ZONING BOARD OF ADJUSTMENT
• If you wish to make yourself available for consideration, please complete this form and send to the City
Secretary’s Office, City of Temple, P.O. Box 207, Temple, TX 76503 or by fax 254-298-5637.
• If you would like further information on meeting times and/or anticipated time commitments, please contact
the City Secretary at 254-298-5700 or jlewellen@templetx.gov
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Name______________________________________Residence Address_________________________________
Mailing Address__________________________Phone Number(Business)__________(Home)_____________
Fax Number______________Cell Phone Number________________E-Mail Address_____________________
Temple Resident: _______Yes ________No
Currrent Employer/Nature of Business:__________________________________________________________
What City Boards have you served on before & When?_____________________________________________
__________________________________________________________________________________________
Name, in priority order, the Board or Boards on which you would prefer to serve:_________________________
__________________________________________________________________________________________
What experience and/or educational background do you have that could be applied to community service?
__________________________________________________________________________________________
__________________________________________________________________________________________
Comments (Attach additional page if desired):
________________________________________________________________________________________
__________________________________________________________________________________________
Signed:___________________________________Date:_____________________________________________
PLEASE NOTE: All information supplied on this form is public information.
Rev 06/20
