LEADERSHIP—APPOINTED OFFICIALS

Application for Board / Commission Service

All fields must be completed unless retired/unemployed, in which case employment-related fields are not required.

Under the Texas Public Information Act, you may elect to have certain personal information withheld from public release. Please indicate if you wish to have this information withheld from a Public Information Request.

wish to have my home address, home telephone number, personal cell phone number or personal e-mail provided as information in a public information request.
I am a Youth in grade 9-12 interested in serving on a Board and Commission (The City Council supports youth participating in Boards and Commissions as advisory members on the Boards.)

I hereby certify that the information given by me in this application is true and complete. I understand and agree that any false information or misrepresentation is sufficient grounds for disqualification. I understand and agree that all information provided in this application may be verified by the City of Waco.