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4. 

6. INSTRUCTIONS: Please complete the entire form and sign at the bottom. A copy of your Driver's License or other state issued ID will need to be attached to the application in order for it to be processed. 
   Please note: knowingly making a false entry in, or false alteration of, a government record is an offense under section 37.10 of the Texas Penal Code and, upon conviction, may subject a violator to criminal penalties. 

   QUALIFICATIONS: In addition to the qualifications for service on a board required by city ordinances or state law, a person appointed to a board must not be delinquent in the payment of taxes, water service charge or other obligation to the City.

10. Section 1 - Personal Information
12. Full Legal Name:*
14. Physical Address*
16. Mailing Address (if different):
18. Primary Phone:*
19. Email Address:*
21. Occupation*
22. Employer*
26. Section 2 - Eligibility & Board Selection
28. Please select board(s) you are applying for:*

    1. Planning, Development, and Zoning Commission(Meets every 2nd and 4th Monday of the month at 6:00 p.m.)
    2. Manvel Economic Development Corporation
    3. Capital Improvements Advisory Committee (CIAC)
    4. Zoning Board of Adjustments
    5. TIRZ 3 Board
    6. SMDA Board
    7. Building & Standards Commission
    8. Parks and Recreation Board
    9. Charter Review Commission (when active)
    10. YES, I would be interested in serving on subcommittees that may be formed
30. Are you a Manvel resident?*
    -- Select One --YesNo
32. Length of Residency:*
34. Are you a registered voter in Brazoria County?*
    -- Select One --YesNo
36. Are you currently employed by the City of Manvel?*
    -- Select One --YesNo
38. Do you currently serve, or have you ever served, on a City of Manvel board or commission?*
    -- Select One --YesNo
40. If yes, list the board(s) and years
42. How many city council, board, or commission meetings have you attended in the last 3 months?*
44. What board meetings did you attend?
46. Are you related to any City Council member or City employee?*
    -- Select One --YesNo
48. If yes, list name and relationship:
50. Are you a citizen of the United States?*
    -- Select One --YesNo
52. Do have a valid driver's license or state ID?*
    -- Select One --YesNo
53. Please attach a photo of your ID*
55. Have you ever been convicted of a felony?*
    -- Select One --YesNo
57. If yes, explain
59. Have you been convicted of, received probation or deferred adjudication for, any offense that was not a felony within the last 10 years?*
    -- Select One --YesNo
61. If yes, explain
63. Are you, or have you ever been, an adversary party to pending litigation against the City of Manvel?*
    -- Select One --YesNo
65. If yes, explain
67. Do you have any outstanding taxes or other debt owed to the city?*
    -- Select One --YesNo
69. If yes, explain
71. Have you been cited in the past year for non-compliance of any City Codes/Ordinances?*
    -- Select One --YesNo
73. If yes, explain
77. Section 3 - Background & Interest
79. Previous civic or volunteer involvement:*
81. Share any relevant experience (professional, volunteer, education, skillsets) you feel would make you a good fit for the board to which you are applying:*
83. Please share why you would like to serve on a Board or Commission:*
85. Resume upload (optional)
89. Section 4 - Legal Notices & Required Acknowlegements

91. Provide All Information Requested: Incomplete applications will not be considered for board or commission opportunities. Your complete application will be maintained in active files for one year from the date of submission. If you are not appointed to a City of Manvel board or commission, this application and any supporting records collected or prepared will be maintained in accordance with the Texas Public Information Act and the City of Manvel’s Records Retention Schedule.

95. Required Acknowledgements

    Please review each item carefully and check to acknowledge.

97. Attendance Requirements:*

    I acknowledge that I understand and will comply with the attendance requirements established and that failure to do so may result in my removal from the board.

99. Texas Public Information Act Notice: *

    I understand that this application is subject to the Texas Public Information Act. Certain personal information may be protected under Texas Government Code §552.117, §552.1175, and §552.137.

101. Nepotism Disclosure (Texas Government Code Chapter 573):*

     I have listed any and all familial relationships with the Mayor, City Council Members, or City employees.

103. Conflict of Interest (Local Government Code Chapter 171):*

     I understand that if appointed, I may be required to file conflict disclosure affidavits.

105. Texas Open Meetings Act Training:*

     I understand that I must complete OMA training within 90 days of appointment, as required by Texas Government Code §551.005.

107. Background Check Acknowledgment:*

     I understand that certain boards or commissions may require a background check prior to appointment.

111. Section 5 - Certification & Signature

113. I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that the information contained in this application may be considered, along with other criteria and qualifications, by the City Council during its evaluation of my candidacy.

     If appointed to a City of Manvel board or commission:

     • I understand that I serve at the pleasure of the City Council and may be removed from my position at any time, with or without cause or notice.

     • I understand that I am responsible for maintaining a credible record of attendance and performance.

     • I agree to comply with all applicable laws, ordinances, policies, and ethical standards governing service on City boards and commissions.

     • I understand that I must complete all onboarding requirements, including the official Oath of Office and any mandatory state trainings.

     By signing below, I affirm that I have read and understand all statements, notices, and legal acknowledgments contained in this application.

115. I acknowledge that I have read and understand the disclaimer and required legal acknowledgments. By checking this box, I agree.*
117. Electronic Signature*
118. Date*
     Date
120. FOR OFFICE USE ONLY

     Date Application Received:

                                                                                             

     New Applicant? ☐ Yes ☐ No

     Meeting Attendance Log (Prior to Appointment)

     Record dates the applicant attended meetings as required by board policy.

     1.                                                                                    

     2.                                                                                     

     3.                                                                                     

     4.                                                                                     

     Interview & Appointment Tracking

     Council Interview Completed? ☐ Yes ☐ No
     Interview Date:

                                                                                         

     Council Appointment Date: 

                                                                                         
     Appointment Made To:

                                                                                          

     Term Expires: 

                                                                                         

     Sworn In On:

                                                                                         

     ☐ Statement & Oath Completed

     ---

     ☐ No appointment made at this time; retain application for one year.

Leave This Blank:


122. 1. Receive an email copy of this form.
123. Email address

     This field is not part of the form submission.

124. Submit

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