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CANDIDATE APPLICATION FORM FOR COUNCIL-APPOINTED BOARDS & COMMISSIONS

2. Board Preference 1*
   -- Select One --Board of AdjustmentBuilding & Standards CommissionCemetery BoardCharter ReviewCivil Service CommissionEconomic Development CorporationKeep La Marque Beautiful CommissionLibrary BoardParks BoardPlanning & Zoning Commission

3. Board Preference 2:*
   -- Select One --Board of AdjustmentBuilding & Standards CommissionCemetery BoardCharter ReviewCivil Service CommissionEconomic Development CorporationKeep La Marque Beautiful CommissionLibrary BoardParks BoardPlanning & Zoning Commission

5. First Name*

6. Last Name*

8. Address1*

10. Address2

12. City*

13. State*

14. Zip*

16. Are you a resident of La Marque?*
    -- Select One --YesNo

17. Phone Number*

19. Profession *

21. Special Knowledge or Experience applicable to City Board/Commission function:*

23. Other Civic Activities:*

25. Disclaimer*

    1. I understand and agree,

    I verify that the information I have provided on this application to be true and correct. I also acknowledge that this information may be made available to the public.

26. Disclaimer

    1. I understand and agree.

    Applications will remain on file with La Marque City Clerk for two years.

27. Today's Date*
    Today's Date

    Today's Date

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field