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6. Texas Public Information Act

   The information on this application is subject to the Texas Public Information Act.' commonly known as the "Open Records" Act. If there is anything requested on this form you do not potentially wish to have disclosed through a Public Information Request, then leave that response blank.

8. Personal Information
10. First Name*
11. Last Name*
13. Sex:*

    1. Male
    2. Female
    3. Prefer Not to Say
15. Address1*
17. Address2
19. City*
20. State*
21. Zip*
23. Home Phone Number*
25. Business Address
27. Business Phone Number
29. Occupation
31. Email Address
33. Residency Information
35. Length of Residency in Shady Shores*
37. Are you a registered voter*

    1. Yes
    2. No
38. Subject Matter Area(s) interested in:

    1. Adopt a Spot
    2. Yard of the Month
    3. Clean Up Events
    4. Tree City Initiatives
    5. Keep Texas Beautiful Initiatives
40. State whay you believe is the purpose of the Keep Shady Shores Beautiful Committee
42. What qualifications and strengths will you bring to the Keep Shady Shores Beautiful Committee?
44. Have you attended any of the meetings listed below in the last year? (Virtually or Physically?

    1. Keep Shady Shores Beautiful
    2. Community Events
    3. Planning and Zoning Commission
    4. Zoning Board of Adjustments
    5. Town Council

    Check any that apply
46. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
48. If yes, which
50. Have you served on a Town of Shady Shores Board, Commission, or Committee before?*

    1. Yes
    2. No
52. If yes, which
56. Please list organization memberships and positions held
58. Please Enter Basic Resume Information Below
60. Please upload resume
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit Submit and Print

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