Boards and Commissions Application

NAME
STREET ADDRESS:
MAILING ADDRESS:
CITY/ZIPCODE:
TELEPHONE NUMBERS:
E-MAIL ADDRESS:
EMPLOYER:
TITLE:
ADDRESS:
CITY/ZIPCODE:
TELEPHONE:
FAX:
Name of Board(s) or Commission(s) you wish to serve:
Please list any Boards or Commissions that you currently serve or have in the past.
Boards or Commission Year Appointed
Special Experience, Knowledge, Skills or Degrees you possess that will benefit this Board/Commission.
What motivates you to serve on a Board or Commission?
Do you have the time to invest and commit to this Board/Commission?
Please list involvement in other community activities or organizations?
How long have you been a resident in Laguna Vista?
Educational Background:
High School:
Vocational/Technical/Trade:
College:
Other:
Comments
This field is for validation purposes and should be left unchanged.

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Boards or Commission	Year Appointed