Application

Please correct the field(s) marked in red below:

APPLICATION TO SERVE ON A CITY OF BAYTOWN
BOARD, COMMISION, COMMITTEE, OR TASK FORCE


Applicant Information

 *
Applicant Information

Occupational Information

Occupational Information
If employed, please list the following:
If employed, please list the following:

Preferences

In order of preference, list the Board, Commission, Committee, or Task Force on which you wish to serve:

Preferences In order of preference, list the Board, Commission, Committee, or Task Force on which you wish to serve:
Under the Texas Public Information Act, you may elect to have certain personal information withheld from public release. Please indicate if you wish to have this information withheld from a Public Information Request.
Do you want to withhold your home address, home telephone number, personal cell phone number and personal email as provided?
Do you want to withhold your home address, home telephone number, personal cell phone number and personal email as provided?

Applicant Questionnaire

Applicant Questionnaire

Signature

 *
Signature

Thank you for your interest in serving on a City of Baytown Board, Commission, Committee, or Task Force!

 

Completed applications may be submitted via mail to: City of Baytown, City Clerk, P.O. Box 424,

Baytown, Texas 77522-0424, via email to: cityclerk@baytown.org, via fax to: (281) 420-5891, or

in person to the City Clerk’s office, City of Baytown City Hall.

 

Should you have any questions regarding this process, feel free to contact

the City Clerk’s office at (281) 420-6504.

  1. To receive a copy of your submission, please fill out your email address below and submit.