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2. Before completing the application form below, please read the City of Pittsburg Board/Commission/Committee Membership Policy.
4. City of Pittsburg Board/Commission/Committee Membership Policy
   Policy
6. Candidate Information
8. First Name*
9. Last Name*
11. Home Address*
13. City*
14. State*
15. ZIP Code*
17. Office Address
19. City
20. State
21. ZIP Code
23. Home Telephone Number*
24. Office Telephone Number
26. Place a 1, 2, or 3, for priority preference of the Boards for which you would like to be considered.
28. Zoning Board of Adjustments (Must Reside Inside the City Limits to Serve)
30. Planning & Zoning Commission (Must Reside Inside the City Limits to Serve)
32. Parks & Recreation Planning Board
34. Pittsburg Camp County Library Board (Must Reside Inside the City Limits to Serve)
36. Pittsburg Economic Development Corporation (Must Reside Inside the City Limits to Serve)
38. Northeast Texas Municipal Water District Board (Must Reside Inside the City Limits to Serve)
40. Pittsburg Centennial Committee
42. Main Street Committee
44. Pittsburg Housing Authority
46. Special Knowledge, Education or Experience Applicable to Board of Commission Function
48. Hwy 271 Board
50. Electronic Signature Agreement*

    I am aware of the requirements of the City regarding conflict of interest of appointees to City of Pittsburg Boards and Commissions. I am aware of the meeting dates and times of the Board/Commission for which I have applied and that I am expected to attend a minimum of 75% of scheduled meetings. If appointed, I agree to serve on the Board/Commission for which I have applied.

    1. I agree.
52. Electronic Signature*
54. In compliance with local Government Code 552 (Open Records Law), information provided on this application may be available to the public upon request.
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field