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2. First Name*
3. Last Name*
5. Phone Number (Include area code)*
6. Work Phone (Include area code)
8. Email Address*
10. Home Address*
12. City*
13. State*
14. Zip Code*
16. Do you live in the corporate limits of the City of Schertz?*

    1. Yes
    2. No
18. Are you 18 years or older?*

    1. Yes
    2. No
20. Are you registered to vote?*

    1. Yes
    2. No
21. Which County?
22. Registration #
24. Please indicate which Board or Commission you are interested in serving on:*
    -- Select One --Planning and ZoningBoard of AdjustmentEconomic DevelopmentLibrary Advisory BoardTransportation Safety Advisory CommissionParks & Recreation Advisory BoardHistorical Preservation CommitteeAnimal Services Advisory CommitteeBuilding and Standards Commission
26. Are you currently serving on a Board/Commission/Committee?*

    1. Yes
    2. No
27. If so, which Board/Commission/Committee?
29. Do you consent to the City conducting a background check on you?*

    1. Yes
    2. No
31. Current/past occupations or areas of expertise:
33. Professional and/or community activities:
35. Additional pertinent information/references:
37. Upload a Resume or Other Supporting Documents
39. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) the information on this Application is true and correct 2) your application will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree.
41. Electronic Signature
42. Date
    Date
Leave This Blank:


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

    This field is not part of the form submission.

46. Submit

* indicates a required field