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Board & Commission Application Form

  1. Personal Information
  2. Sex:*
  3. If you do not know your Denton County Voter Registration Number, you can submit your Date of Birth in the following format: "MM/DD/YYYY"

  4. Residency Information
  5. Occupational Information
  6. Education and Hobbies
  7. Organization Membership Information
  8. Do you currently serving on other Boards, Commissions, or Committees?*
      1. Have you served on a Board, Commission, or Committee before?*
          1. Statement of Intent*

            I am aware of the requirements of the Town regarding conflicts of interest of appointees to the Town of Providence Village Council, Boards and Commissions. I am aware of meeting dates and times of the council, board and/or commission for which I have applied and that members are expected to attend regularly scheduled meetings. If appointed, I agree to serve on the council, board and/or commission for which I have applied. Applications will remain on file for one year from date of receipt. I affirm that the above information is true and correct.

          2. Electronic Signature Agreement*

            By checking the "I agree" 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.

          3. Please Note: In compliance with Chapter 552, Vernon’s Texas Codes Annotated, (Open Records Law) information provided on this application may be available to the public upon request.

          4. Leave This Blank:

          5. This field is not part of the form submission.