Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Boards, Commissions and Committees Application

  1. Public Service Opportunities are offered by the City of Plainview without regard to race, color, national origin, religion, sex, marital status or disability.

  2. Qualification: Except as otherwise provided by the City’s Code of Ordinances or other applicable law, all City Board, Commission and Committee appointees must continuously reside within and be eligible to become registered voters of the City of Plainview, Texas to qualify for appointment.

     NOTE: The information provided in this application is not considered confidential and could be subject to public disclosure upon proper request pursuant to the Texas Public Information Act.

  3. (If retired, list former occupation)

  4. (Writing "all" or "any" is not an acceptable answer) 

  5. Previous experience on boards, commissions or other civic organizations:
  6. There is no guarantee of an appointment by submitting this application. All applications will be kept on file for one year unless subsequently withdrawn by the applicant.

    As evidenced by my signature below, I certify that all of the statements contained herein and any information attached here are true and correct as to every material matter.  I understand that there is no guarantee of appointment by submitting this application.  I understand that maintaining the confidentiality of information contained in my application may not be legally possible under the Texas Public Information Act and I hereby release the City of Plainview, its agents, employees and officers from any and all liability related thereto. 

  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. Leave This Blank:

  9. This field is not part of the form submission.