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2. First and Last Name
4. Email Address
5. Phone Number
7. Physical Address
9. Mailing Address

   If different from Physical Address

11. City
12. State
13. Zip Code
15. Employer
17. Occupation
19. Briefly describe your interest and qualifications for the position desired.
21. List any civic or community endeavors in which you have been involved:
23. Appointed Position Desired

    Select all boards for which you are interested in serving.

    1. Building Board of Adjustments and Appeals
    2. Board of Ethics and Compliance
    3. Library Board
    4. Parks and Recreation Board

    1. Planning Commission
    2. Senior Citizens Board
    3. Charter Review (every 4 years)
    4. Other
25. If other, please specify.
27. Do you wish to re-apply for a position in which you have been previously appointed?

    1. Yes
    2. No
28. Have you served on the Alvin City Council?

    1. Yes
    2. No
30. Have you served on an Alvin City Board, Commission, or Committee?

    1. Yes
    2. No
31. Are you registered voter?

    1. Yes
    2. No
33. How many years have you been a resident of Alvin?
34. How long have you been a resident of Texas?
36. Date of Birth
    Date of Birth
38. Acknowledgement*

    I understand that appointments are solely at the discretion of city council and that this form is not the only basis of candidate selection. If appointed, I will accept the position and faithfully serve to the best of my ability. I understand that the information provided in this document may be subject to the Public Information Act.

    1. Yes
40. Electronic Signature*

    Type your full name here to sign your application. 

41. Date Submitted*
    Date Submitted
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field