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2. Thank you for your interest in serving the City of Nacogdoches. Please contact the City of Nacogdoches Administration Department at (936) 559-2506 with questions
6. Personal Information
8. Name
9. Application Date
   Application Date
11. Physical Address
13. Mailing Address
15. Phone (H)
16. Phone (C)
18. Email
22. Business Information (if retired or unemployed, write N/A)
24. Business Name
25. Occupation
27. Business Address
29. Phone (O)
33. I am applying to serve on the following boards/committees:
35. Boards

    1. Airport Advisory Board
    2. Building Standards Commission
    3. Convention and Visitors Bureau Board
    4. Historic Landmark Preservation Committee
    5. Housing Authority Board
    6. Industrial Developement Authority
    7. Pine Grove Cemetery Board

    1. Main Street Advisory Committee
    2. Mayor's Committee on People with Disabilities
    3. Parks and Recreation Advisory Board
    4. Planning and Zoning Commission
    5. Zoning Board of Adjustment
    6. Health Code Advisory Committee
37. Are you eligible to vote?

    1. Yes
    2. No
41. Do you, your spouse, or your employer have any financial interest, (direct or indirect) in the following? 1) In any contract with the City of Nacogdoches? 2) Regarding the sale of land, materials, supplies, or services to the City of Nacogdoches? 3) In matters that might come before the Board/Committees to which you are seeking appointment? Please explain:
43. In the space provided below, please briefly (1000 characters max) answer the following: Why are you interested in serving on this board? What will make you a good board member? (Include any special knowledge, education, and experience.) Have you served on a City-appointed board before? If yes, which ones and for how long? Please list any other leadership activities you have participated in. If more space is needed, please attach additional information.
45. Please list two references and provide contact information:
47. Education and areas of interest: Please attach résumé or additional information if more space is needed.
49. Supporting Documentation
53. Please note: All information on this application is public information pursuant to the provisions of the Texas Public Information Act. Individuals appointed to serve on a board/commission/committee will be required to complete the Texas Open Meetings Act training. Members must complete a training course within 90 days of being appointed and inform the respective department representative or the City Secretary upon completion of the training to remain in good standing.
55. I have read and understand the instructions and appointment process. By clicking submit, I certify the answers I have provided are true and correct to the best of my knowledge and belief, and I agree any misrepresentation or omission of fact may result in disqualification from serving.
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57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

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