Boards and Commissions application

NOTE: This application is a public record.

Public service opportunities are offered by the City of San Angelo without regard to race, color, national origin, religion, sex or disability.

1

Personal information

 *

Personal information

Name:

Address:

ZIP code:

Home/mobile phone:

Office/mobile phone:

Resident of San Angelo since: (year)

City Council Single-member District in which you reside:

Registered San Angelo voter? (yes or no)

Occupation/business affiliation:

Occupation/business address:

Title/position:

Email:

2

By executing this document, the applicant does hereby certify and affirm the truth and accuracy of the information contained herein. The applicant further authorizes the City Council, or its designee, to verify any information. The applicant agrees to release and hold harmless the City from all claims incident to the verification of information contained herein.

Yes

3

Date

 *

Date

4

Applying for:

 *

Applying for:

Airport Advisory Board	Airport Zoning Board
Animal Shelter Advisory Committee	Civic Events Advisory Board
Civil Service Commission	Construction Board of Adjustments and Appeals
Economic Development Corporation	Design and Historic Review Commission
Fairmount Cemetery Board	Fort Concho Museum Board
Keep San Angelo Beautiful	Parks and Recreation Advisory Board
Planning Commission	Public Art Commission
Santa Fe Park Commission	Tax Increment Reinvestment Zone Board
Water Advisory Board*	Zoning Board of Adjustment

5

Recommended by: 

(Name):

6

Based on your board selection, do you meet the membership criteria outlined on the PDF version of the
application/Board Ordinance?

Based on your board selection, do you meet the membership criteria outlined on the PDF version of the application/Board Ordinance?

Yes

No

7

If no, which criteria? 

If no, which criteria?

8

Tell us about yourself.

 *

Tell us about yourself.

Education and/or professional licenses:

Current municipal and civic organization memberships (positions and dates):

Previous municipal experience (positions, dates, where):

What personal qualifications can you bring to the board?

What is your personal vision for the City?

Why do you want to serve on this board?

Is there anything else you would like to share about yourself?

The City Council adopted the Code of Ethics for members of the City Council and for the City's boards and commissions to assure public confidence in the integrity of local government and its effective and fair operation. Therefore, all members shall comply with the laws of the nation, the State of Texas and the City of San Angelo in the performance of their public duties. If you been convicted of a MISDEMEANOR or FELONY, and/or placed on probation, fined or given a suspended sentence such as pretrial diversion or deferred adjudication in court within the last ten years, disclosure of such should be forwarded under separate cover. For a complete copy of the Code of Ethics, contact the City Clerk's Office at 325-657-4405.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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