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2. Please note that this application, once completed is considered to be public record.
4. Board or Commission Positions
   Please indicate your preferred board or commission and indicate your second choice, if interested in service on more than one board or commission.
6. First Choice*
   -- Select One --Fate Municipal Development District No. 1 Parks and Recreation Advisory BoardPlanning and Zoning CommissionZoning Board of Adjustment

   I am interested in being considered for appointment to one of the following Boards/Commissions.

7. Second Choice
   -- Select One --Fate Municipal Development District No. 1Parks and Recreation Advisory BoardPlanning and Zoning CommissionZoning Board of Adjustment

   I am interested in being considered for appointment to one of the following Boards/Commissions.

9. Name*
11. Physical Address*
12. City*
13. Zip Code*
14. Subdivision*
16. Mailing Address
    If different than your physical address.
17. City
18. State
19. Zip
21. Home Phone
22. Cell Phone
24. Which phone number do you prefer to be your primary contact number*
    -- Select One --Home PhoneCell Phone
26. Email Address*
27. How many years have you been a resident of Fate? *
29. Are you a qualified voter?*
    -- Select One --YesNo
30. Voter Registration #*

    This information can be located here: https://teamrv-mvp.sos.texas.gov/MVP/mvp.do

32. Occupation*
33. Employed By*
35. Why You Wish to Serve*
    Please state why you wish to serve on a City of Fate Board, Commission, or Committee.
37. Experience*
    List any experience that qualifies you to serve in the position(s) sought.
39. Signature
40. Date
    Date
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field