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2. 
3. City of Terrell Application For Board Appointment
5. First Name*
6. Middle Initial
7. Last Name*
9. Occupation*
10. Address*
12. City*
13. State*
14. Zip Code*
15. Home Phone
17. Mobile Phone
18. Email Address
20. Resident Of Terrell?*

    1. Yes
    2. No
21. If yes, How many years?
22. Council District
    -- Select One --2345
24. Qualification and experiences that you consider would make a contribution to a City of Terrell Board or Commission:*
26. I would like to serve on the following board(s) (indicate with a ✔): *

    (Please limit your selection to 4 City Boards / Commissions) Council preference is that citizens should serve on no more than one (1) board at a time

    1. Airport Board
    2. Civil Service Commission
    3. Building Standards Commission
    4. Library Board
    5. Tax Increment Financing Reinvestment Zone Number One Board
    6. TIF Board
    7. Park Board

    1. Planning and Zoning Commission
    2. Economic Development Corporation
    3. Zoning Board of Adjustments
    4. Type B PADIC
    5. Committee for Airport Naming Issues
    6. Animal Advisory Board
28. Have you attended any of the following?

    1. Kaufman County Leadership Program
    2. Terrell Citizen Police Academy
    3. Terrell Citizen University
30. Electronic Signature Agreement

    By checking the 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.
32. Electronic Signature
Leave This Blank:


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

    This field is not part of the form submission.

36. Submit

* indicates a required field