Form Center

2. Please note preference of Board or Commission by numbering your choice(s): Note: Vacancies may not exist on all boards and commissions.
   1 equals most interest and 5 equals least
4. These board members must reside in city limits
6. Board of Adjustments
   -- Select One --123456789
7. Planning and Zoning Commission
   -- Select One --123456789
9. These board must reside within the ETJ
11. Municipal Development District
    -- Select One --123456789
12. Economic Development Foundation
    -- Select One --123456789
14. Library and Cultural Arts Board
    -- Select One --123456789
15. Main Street Advisory Board
    -- Select One --123456789
17. Parks and Recreation Advisory Board
    -- Select One --123456789
19. Name
20. Email Address
22. Address
24. City
25. State
26. Zip Code
28. Phone Number
29. Age
31. Occupation / Address / Business Phone
33. Registered Voter?

    1. Yes
    2. No
34. Resident in City for how many years?
36. Education
38. Special Knowledge or experience
40. Other information (civic activities, etc.)
42. Are you, or a member of your family, involved in any business transaction with the City of Pilot Point? Yes or No
    If yes, please explain.
44. Have you ever been convicted of a felony? Yes or No
    If yes, please explain.
46. I am aware of the meeting dates and times of the Board,Commission I have applied an if appointed, I agree to serve on the Board/Commission which I have applied or would consider an alternate appointment to my second or third service preference.
48. Date Submitted
    Date Submitted

    Date Submitted
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

* indicates a required field