HomeMy WebLinkAbout2015 Boards Commissions Application
Name: _______________
Residential Address & Zip Code: ___
Primary Phone: ______ Secondary Phone:
____________________
E-mail: _______________________________________________________________________
Do you live inside the Georgetown City Limits? Yes No
If yes, how long? ____
Do you live in the Extra-Territorial Jurisdiction? Yes No If yes, how long? ____
Are you registered to vote in Williamson County? Yes
No
Please indicate, in order of preference, up to three (3) Boards on which you would like to serve:
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
Signature: Date:
2015 Application for
Board & Commission Appointment
Indicate your top three Board choices shown on Pages 2 and 3.
Select the eligibility criteria that corresponds with your experience
2015 Application for
Board & Commission Appointment
Indicate your top three Board choices shown on Pages 2 and 3
Select the eligibility criteria that corresponds with your experience.