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Application to RE-SERVE on a Board or Commission

  1. Are you a resident of Lake Jackson*
  2. Do you give consent to publish your email address on various city media outlets?
  3. Number of years
  4. Are you a registered voter?
  5. Education
    Select all that apply
  6. Would you like to continue service on the board or commission your are currently serving on?
  7. If you answered NO to the question above, please choose from the dropdown menus provided below indicating which board and/or commissions you would like to serve on. Please choose 3 boards or commissions that interest you the most:
  8. By selecting the accept button below you are acknowledging that the information submitted on this form is considered to be public information. *
  9. Leave This Blank:

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