P&Z Application

Date - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Name * Required
First Last
Phone * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How long have you been a resident of New Fairview? * Required
How long have you been a resident of Texas? * Required
Wise/Denton County Voter Registration Number * Required
Have you ever been convicted of a Class A misdemeanor? * Required
Have you ever been convicted of a felony? * Required
List any experience that qualifies you to serve in the areas you have indicated. * Required
If you have previously served on a City Board or Commission, please specify and list dates of service. * Required
List civic or community endeavors with which you have been involved. * Required
What is your educational background? * Required
What is your occupational experience? * Required
Consent * Required
I hereby affirm that all statements herein are true and correct