Section 1 of 5 in this document
Application for Public Service Appointment
Board for which you are applying
City Council
Section 2 of 5 in this document
Contact Information
Full Name
First Name
*
Last Name
*
Full Address
Street Address
*
City
*
State
*
Zip
*
Phone Number
*
Email
*
Employer
*
Section 3 of 5 in this document
Background Information
Length of Residency in Mesquite
*
Educational Background
*
Occupational Experience
*
Professional or Technical Organization Memberships
*
Civic or Community Experience, Membership or Previous Public Service Appointments
*
Experience or Special Knowledge Pertaining to Area of Interest
*
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Section 4 of 5 in this document
Qualification Information
Qualifications for City Council Member
Must be an actual and bona fide resident of the City of Mesquite and have been for a period of one year preceding the appointment.
Must be a qualified elector, i.e. at least eighteen (18) years of age, a citizen of the United States and have not been denied the right to vote by a court of law or dishonorable discharge.
Must not be a debtor to the City
Shall hold no other elective office, but may hold a commission as a notary public of a member of the armed forces reserve.
Are you a Qualified Elector of the City of Mesquite?
Yes
No
Certification
I declare under penalty of perjury that all statements in this application and the attached responses are true and complete to the best of my knowledge and belief.
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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
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