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2. First Name*
3. Last Name*
5. Email Address*
6. Phone Number*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Length of Time as a Texas Resident*
15. Length of Time as a Woodcreek Resident*
17. Committee(s) of Interest*

    Select all that apply

    _{NOTE:  Groups listed below are Advisory and submit reports and/or recommendations, as needed, to the City Council, per state and federal laws and City Ordinances.}

    1. Planning and Zoning Commission
    2. Parks and Trees Board
    3. Community Relations Committee
18. City Hall Areas of Interest*

    _{NOTE:  Groups listed below are to volunteer your time to assist with City projects or events on an as needed basis.}

    1. City Staff Mailouts
    2. City Clean-up Projects
    3. Distribution of Flyers (Door to Door)
    4. Neighbor to Neighbor Events
    5. City Sponsored Events
20. Have you previously served on any City of Woodcreek Boards, Commissions, Committees or Panels?*

    1. Yes

    1. No
21. If "YES", please list capacity and Term
23. Do you, or your employer, have any business or other dealings with the City of Woodcreek which may create a conflict of interest upon your appointment?*

    1. Yes

    1. No
24. If "YES", please explain.
26. Describe any qualifications, credentials or special interests that relate to your possible appointment.*
28. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) 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 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
30. Electronic Signature*
31. Date:*
    Date:
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field