Fill - Free fillable CITY OF SEABROOK Rev. 12/17 (City of Seabrook) PDF form

Rev. 12/17

CITY OF SEABROOK

BOARDS/COMMISSION/CORPORATIONS

APPLICATION AND INFORMATION STATEMENT

QUALIFICATIONS FOR APPOINTMENT (Please check option that applies):

I have been a resident of Seabrook for at least six months prior to the date of

appointment. (One year for appointment to the P&Z Commission and Board of

Adjustment.)

I am or will be a qualified City of Seabrook voter at the time of appointment.

Voter Registration # _____________

I have no felony conviction for which you have not been pardoned.

I am not an adversary party to pending litigation against the City.

I am not in arrears on any city taxes, water service charges or other obligations

owed the City.

Please number the Boards/Commissions/Corporations you wish to serve on in order of preference.

Please do not select more than three (3) boards on which you wish to serve.

Board of Adjustment/Building Standards

Charter Review Commission

Civil Service Commission

Comprehensive Master Plan Review Commission

Economic Development Corporation

Ethics Review Commission

Open Space & Trails Committee

Planning and Zoning Commission

Name of Applicant:

Date of Application:

All INFORMATION ON THIS APPLICATION WILL BECOME PUBLIC RECORD

DATE OF APPLICATION:

NAME:

HOME ADDRESS:

HOME PHONE:

CELL PHONE:

E-MAIL ADDRESS :

DAY TIME PHONE:

PROFESSION:

BUSINESS NAME AND ADDRESS:

PERSONAL REFERENCES:

Name:

Address:

Daytime Phone #:

Name:

Address:

Daytime Phone #:

Name:

Address:

Daytime Phone #:

How long have you lived in the City of Seabrook?

Name of Applicant:

Date of Application:

If you have been a member of a Seabrook Board/Commission/Corporation before, please indicate

the Board, Commission or Corporation and the approximate dates of service:

Have you ever been convicted of a crime, other than minor traffic violations?

What experience do you have that may qualify you for service on a particular Board, Commission or

Corporation (i.e. licenses, degrees, and certificates)?

Please list any civic or community endeavors in which you have been involved:

I understand that applicants for board positions will be interviewed by City Council during a Council

meeting. I will be contacted by the city secretary’s office for an interview date and time.

I understand that if appointed, I must adhere to the Ethics Ordinance, including Section 2-239 (see

page 3), that requires all members of the Board of Adjustment, EDC and Planning and Zoning

Commission to complete a disclosure statement within 10 business days of appointment.

I agree to be bound by the Seabrook Charter, including Section 11.09, “Personal Interest” (See

page 3.)

I understand that State law requires that I undergo two hours of training concerning the Opening

Meetings Act and the Public Information Act within 90 days of my appointment. (See page 3 for

instructions.)

I hereby affirm the information provided herein is true and correct to the best of my knowledge.

Signature Date

Return to: Robin Hicks, City Secretary

1700 First St., Seabrook, TX 77586

(281)291-5663

rhicks@seabrooktx.gov

Name of Applicant:

Date of Application:

NOTE: This application will remain on file for one year.

Sec. 2-239. - Disclosure.

The city manager, economic development director, all members of the city's council, planning

and zoning commission, board of adjustment, economic development corporations, and any and all

other members of the economic development committees and subcommittees shall, within ten

working days of election, appointment or membership, complete a disclosure statement listing all

interests in real property located within the city limits or the extraterritorial jurisdiction of the city,

whether owned outright or under a mortgage, leased, held in trust, or that are owned, leased, or

held in trust by the employee's or committee member's spouse or dependent children. This list shall

include the location (street address and/or legal description), size (general dimensions), and current

use of the property. Additionally, each member or employee shall disclose any of his or her

ownership of stock in any company under contract to the city, when such stock ownership comprises

greater than one percent of such company's total capital stock. This section shall become effective

for the current city manager, economic development director, and all current members of applicable

city boards within 30 days of final approval of this section by the city council. All members and

employees shall file an amended statement within 30 days of the acquisition of any additional real

property interests or stock as defined above. In addition, all members, officials and employees, as

referenced herein, shall review their filed disclosure statements at least once each year and after

review, shall either file an amended statement with any changes or submit a written statement

attesting that no changes have occurred since the last filing. This requirement shall apply during the

term of any election, appointment or employment. Any willful violation of this section shall constitute

malfeasance in office and any official or employee guilty thereof shall thereby forfeit the office or

position.

Section 11.09. - Personal interest.

All members of the City Council, and all officers and employees of the City, shall be subject to and

shall comply with the provisions of general state law regarding personal, financial or conflicting

interests in transactions with the City, including but not limited to Chapter 171 of the Texas Local

Government Code. The City Council shall provide, by ordinance, regulations and procedures for the

implementation and enforcement of said Chapter.

INSTRUCTIONS FOR OBTAINING THE OPEN MEETINGS TRAINING

1. Log on to the Texas Attorney General’s Web site at www.oag.state.tx.us.

2. Select ‘Open Government” at the top of the screen (third category from the right).

3. Then select “Open Government Training” on the right hand side of the screen.

4. Under the category of “Videos and Certificates” select “Open Meetings Act Training”. You will

then watch the required video which takes approximately 50-60 minutes. At the end of the video,

you will be given an access code. Write down the access code.

5. If the video does not give you instructions on how to print your certificate, then go back to the

category of “Videos and Certificates” and select “Print Open Meetings Certificate.”

6. You will be asked to give your access code and name, and you will then be able to print your

certificate. If you do not have a printer, you may bring or email your access code to city hall and we

will print your certificate for you.

7. After printing your certificate, please bring or email the certificate to the City Secretary’s office.

We are required to keep a copy of all certificates on file.

8. Please repeat steps 2-7 for “Public Information Act Training”.

Name of Applicant:

Date of Application:

OFFICE USE ONLY

Date Submitted:

Received by:

Date(s) Interviewed:

Date Appointed: Term Expiration:

Date of Reappointment: 2

Term Expiration:

Date of Reappointment: 3

Term Expiration:

Date of Reappointment: 4

Term Expiration:

Date of Reappointment: 5

Term Expiration:

Date of Reappointment: 6

Term Expiration:

Date of Resignation or Termination:

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CITY OF SEABROOK Rev. 1217 (City of Seabrook)

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