Boards & Commissions Online Application

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Please correct the field(s) marked in red below:

First & Last Name
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Home Address (house number, street name & zip code)
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Mailing Address
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Phone Number(s)
Phone Number(s)
Email Address
Employer
Occupation/Position
Business Phone Number
Fax Number
Numbers of Years as Odessa Resident
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I am interested in serving on the following Boards, Commissions or Committees (you may select more than one)
Advisory Boards & Commissions
Advisory Boards & Commissions
Decision Making Boards & Commissions
Decision Making Boards & Commissions
Separate Legal Entities
Separate Legal Entities
Please describe any qualifications, expertise, or special interests that relate to your interest in serving on a board/commission
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Please list any professional licenses you hold

I have reviewed the qualifications to serve on the interested board and I meet the qualifications for the position.

I understand that if I should be appointed to a board/commission or committee, I will be expected to participate actively in the business of the respective board/commission or committee. I also understand that I will be expected to become familiar with relevant City Ordinances and review the material relating to decisions to be made. 

I agree to adhere to the attendance requirements of said board/commission or committee and commit to attend the schedule meetings.

i agree to contact the City Secretary's Office in the event that there is any change in my information as submitted on this application.

By clicking the button below I hereby certify that the information given by me in this application is true and complete. I understand and agree that any false information or misrepresentation is sufficient grounds for disqualification. I understand and agree that all information provided in this application may be verified by the City of Odessa.

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