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2. 
4. Date*
   Date
6. Personal Information
8. First Name*
9. Last Name*
11. Address1*
13. City*
14. State*
15. Zip*
17. Home Phone Number*
18. Mobile Phone Number*
20. Email Address*
22. Business Address*
24. Business Phone Number*
25. Occupation*
27. Please indicate board/commission/committe preference(s):*

    1. Airport Advisory Board
    2. Capital Improvements Program Committee
    3. Cemetery Association
    4. Construction Board of Adjustments
    5. Economic Development Corporation Board
    6. Golf Course Advisory Board
    7. Joint Airport Board of Adjustments
    8. Library Advisory Board
    9. Parks and Recreation Advisory Board
    10. Planning and Zoning Commission
    11. Zoning Board of Adjustments
29. Residency Information
31. Length of residency in City of Lampasas*
32. Length of residency of Lampasas County*
34. Are you a registered voter?*

    1. Yes
    2. No
35. Voter Registration Number
36. Did you vote in the last City Election?*

    1. Yes
    2. No
38. Organization Membership Information
40. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
42. If yes, please list current service, including dates.
44. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
46. If yes, please list past service, including dates.
48. Please state why you wish to serve.
50. What are your top three goals and objectives for the City Board, Commission or Committee you are applying for?
52. Please list any special knowledge or experience applicable to City Board, Commission, or Committee with that you are applying for.
54. Please attach resume or additional experience to application
56. Signature of Applicant
58. Do you agree?*

    By clicking "I Agree", you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) by signing in this alternate manner, you agree that your "Electronic Signature" is valid and binding upon you to the same force and effect as a handwritten signature.

    1. Agree
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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit Submit and Print

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