Application for Public Service Appointment

Board for which you are applying

Contact Information

Phone Number

Employer

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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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

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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First Name

Last Name

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Draw Type

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.