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2. If you would prefer to complete a PDF application, please download the Boards & Commissions Application (PDF).

4. Legal Name*
5. Preferred Name
7. Home Address*
9. Are you a City of Gainesville Resident?*

   1. Yes
   2. No
10. Are you a registered voter?*

    1. Yes
    2. No
12. Do you reside in the Extraterritorial Jurisdiction (ETJ) of Gainesville?

    1. Yes
    2. No
14. Job Title*
15. Employer*
17. Employer Address, City, and Zip Code*
19. Education (Degrees / Area of Study)*
21. Have you previously served on a City of Gainesville Board or Commission?*

    1. Yes
    2. No
22. If you answered yes, please specify the Board or Commission below.
24. Professional Organizations (Present / Past Memberships and Offices Held)
26. Community Service (Present / Past Memberships and Offices Held)
28. Volunteer Work
30. Personal References
32. Name*
33. Phone Number*
34. Years Known
36. Name
37. Phone Number
38. Years Known
40. Name
41. Phone Number
42. Years Known
44. Financial Interest*

    Do you or any relative(s)* have any financial interest direct or indirect, in any contract with the City, including the sale of any land, right or interest in any land, materials, supplies, or service, in which the financial benefit includes ownership interest of more than ten (10) percent; or compensation directly affected by the contract with the City? 

    *Related within the second degree by consanguinity or affinity. This includes spouse, parents, children, stepchildren, father and mother-in-law, son or daughter-in-law, grandparents, grandchildren, brothers, or sisters.

    1. Yes
    2. No
46. Please specify any business or personal relationships with the City of Gainesville or other activities, which might create a serious conflict of interest or affect your ability to serve, should you be appointed.
48. Selection of Boards*

    Please choose from below the boards or commissions you are most interested in serving. Before making your selection, carefully review the meeting schedule of the boards you are considering. The City Council encourages board members to maintain a 75% or greater meeting attendance rate.

    1. Airport Advisory Board
    2. Building and Standards Commission (BSC)
    3. Capital Improvements Advisory Committee (CIAC)
    4. Gainesville Economic Development Corporation (GEDC)
    5. Gainesville Housing Authority
    6. Greater Texoma Utility Authority (GTUA)

    1. Parks and Recreation Board
    2. Planning and Zoning Commission (P&Z)
    3. Texoma Community Center (formerly MHMR)
    4. Zoning Appeals Board (BOA)
    5. City Council (applications only received when a vacancy is declared)
50. Please list any abilities, skills, licenses, certificates, specialized training, or interests you have which are applicable to the board or commission.*
52. Are you involved in real estate, land development, or construction?

54. City Council Members are defined as local government officers under Local Government Code, Chapter 176, and as such, are subject to conflict of interest disclosure law. Local Government Officers must file a Conflict Disclosure form with the City Secretary within seven days of becoming aware of either of the following situations:

     • A city officer or the officer’s family member has an employment or business relationship that results in taxable income with a person who has contracted with the city or with whom the city is considering doing business.

     • A city officer or the officer’s family member receives and accepts one or more gifts with an aggregate value of $250 in the preceding 12 months from a person who conducts business or is being considered for business with the officer’s city. 

    Board and Commission Members are defined as local government officers under Local Government Code, Chapter 176, and as such, are subject to conflict of interest disclosure law. Local Government Officers must file a Conflict Disclosure form with the City Secretary within seven days of becoming aware of either of the following situations: 

    • A city officer or the officer’s family member has an employment or business relationship that results in taxable income with a person who has contracted with the city or with whom the city is considering doing business. 

    • A city officer or the officer’s family member receives and accepts one or more gifts with an aggregate value of $250 in the preceding 12 months from a person who conducts business or is being considered for business with the officer’s city.

56. Statement of Intent

    I am aware of the requirements of the City regarding conflicts of interest of appointees to the City of Gainesville Boards and Commissions. I am aware of meeting dates and times of the Board/Commission for which I have applied, and that Board/Commission members are expected to attend a minimum of 75 percent of regularly scheduled meetings annually of their Board/Commission. If appointed, I agree to serve on the Board / Commission for which I have applied. Applications will remain on file for one year from the date of receipt. 

    The law requires that certain city officials file a “conflicts disclosure statement” if they receive taxable income or certain gifts from any person or business that contracts with a city or is considering doing business with the city. The bill also requires any person or business that contracts with a city or is considering doing business with a city to file a “conflicts of interest questionnaire.” The bill provides that failure to file the statement or questionnaire is punishable as a class C misdemeanor. 

58. 1. I affirm that I am qualified to vote.
60. Full Name (Electronic Signature)*
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62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field