2. Select the Board, Commission, or Committee applying for*
   -- Select One --Select OnePlanning & Zoning CommissionBoard of AdjustmentsAirport AdvisoryAirport Zoning BoardBoard of Forestry Examiners Board of Health Board of PlumbersBoard of Public Works Building Code Advisory & Appeals Board CDBG Revolving Loan Fund Review CommitteeCivil Service Commission Downtown Improvement District Board Electrical Examining Board Friends of the Fremont Area Parks Housing Advisory & Appeals Board Housing Agency Housing Rehabilitation Board L.B. 840 Committee Library Board Mechanical Examining Board Park & Recreation Board Ridge Cemetery Association Water Conditioning Board of Examiners
4. Personal Information
6. First Name*
7. Last Name*
9. Sex:*

   1. Male
   2. Female
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Home Phone Number*
21. Business Address*
23. Business Phone Number*
25. Occupation*
27. Email Address
29. Residency Information
31. Length of Residency in League City*
33. Are you a registered voter*

    1. Yes
    2. No
35. Education and Hobbies
37. High School
39. College
41. Trade or Business School
43. Hobbies
45. Organization Membership Information
47. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
49. If yes, which
51. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
53. If yes, which
55. Please list organization memberships and positions held
57. Please List Areas of Special Interest
59. Please Enter Basic Resume Information Below
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61. 1. Receive an email copy of this form.
62. Email address

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