Apply for Boards & Commissions

Application for City Boards & Commissions

Return completed application to City Secretary:

926 Loop 332

fax to 512-778-5418

nsawyer@libertyhilltx.gov

For questions, call 512-778-5449.

Date of Application*

Email*

Name*

First

Last

Home Address*

Street Address City State / Province / Region Postal / Zip Code

Mailing Address (If Different from Home Address)

Street Address City State / Province / Region Postal / Zip Code

Please indicate your first, second and third preferences.

First Choice

Second Choice

Third Choice

Applicants

As an applicant for a city board or commission, your application is public information and will be available to the press and the public upon request. Incumbents whose terms expire are automatically considered for reappointment unless they indicate non-interest. Applicants may be asked to attend a City Council meeting to be interviewed. I hereby authorize the City of Liberty Hill to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that the City of Liberty Hill will utilize an outside firm or firms to assist it in checking such information and I specifically authorize such an investigation by information services and outside entities of the city's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application will not be processed further.

Word Verification

Home Phone*

Work Phone

Fax Number

Occupation*

Professional and / or Community Activities*

Have you ever, or do you currently serve on any city boards? If so, please list and indicate dates served:*

Ways to serve your City (For complete qualifications, please see City Secretary.)

Planning and Zoning Commission: Seven-member board comprised of at least 3 members that reside within the corporate limits of City. Remaining 2 members may reside within the corporate limits of the Liberty Hill Independent School District. At least 1 member must also be a City Council member.

Parks and Recreation Board: 5-member board comprised of at least 1 member who resides within the corporate limits of the City and at least 1 member who is also a member of City Council. 4 members may reside within the corporate boundaries of the Liberty Hill Independent School District.

Economic Development Corporation (separate legal entity): See bylaws.

Date of Birth*

day

month

year

Signature*