Biographical Information Form

BIOGRAPHICAL INFORMATION FORM FOR A BOARD / COMMISSION / COMMITTEE APPOINTMENT

NOTE: All information on this application is public information pursuant to the provisions of the Public Information Act.

Personal Information
Name:
Home Address / Zip:	Home Ph. :
Work Address / Zip:	Work Ph. :
Employer:	Position Held:
E-mail:
Preferred Mailing Address? Home Work	Years in Corpus Christi:

Education:
Professional and/or Community Activities (present):

Special Awards received/additional pertinent information:

Do you serve on any other City boards/commissions/committees at this time? If so, please list:

Section 2-61 of the City Code provides that absences from more than 25% of regularly scheduled meetings during a term year on the part of any board, commission, or committee member shall result in an automatic termination. An absence shall be deemed unexcused unless excused by the board, commission or committee for good cause no later than its next meeting after the absence.

By submitting this form, you acknowledge that you are aware of the purpose and meeting times of the above and are able to participate.

I AM INTERESTED IN SERVING ON THE FOLLOWING BOARDS, COMMISSIONS, OR COMMITTEES:

(Check all those that apply)

Airport Board

Animal Control Advisory Committee

Arts & Cultural Commission

Board of Adjustment

Building Code Board of Appeals

Building Standards Board

C.C. Aquifer Storage and Recovery Conservation District

C.C. Business and Job Development Corporation

C.C. Convention & Visitors Bureau District

C.C. Digital Community Development Corporation

C.C. Regional Economic Development Corp.

C.C. Regional Transportation Authority

Cable Communications Commission

Citizens Advisory Health Board

City Council's Youth Advisory Committee

Civil Service Board/Commission

Clean City Advisory Committee

Coastal Bend Council of Governments

Coastal Bend Health Facilities Development Corporation

Commission on Children & Youth

Committee for Persons with Disabilities

Community Youth Development (78415) Program Steering Committee

Corpus Christi Community Improvement / Loan Review Committee

Corpus Christi Downtown Management Corporation

Crime Control & Prevention District Corporation

Crosstown Commons Development Corporation

Electrical Advisory Board

Ethics Commission

Food Service Advisory Committee

Housing Authority

Human Relations Commission

Intergovernmental Commission on Drug & Alcohol

Landmark Commission

Leadership Committee for Senior Services

Library Board

Marina Advisory Committee

Mechanical/Plumbing Advisory Board

Museum of Science & History

North Padre Island Development Corporation

Nueces County Tax Appraisal District

Oil and Gas Advisory Committee

Park and Recreation Advisory Committee

Pipeline Review Panel

Planning Commission

Port of Corpus Christi Authority

Regional Health Awareness Board Committee

Retired and Senior Volunteer Program Advisory Committee

Senior Companion Program Advisory Committee

Sister City Committee

Transportation Advisory Committee

Water Resources Advisory Committee the Coastal Bend

Watershore and Beach Advisory Committee

Weed & Seed Steering Committee

Workforce Development Board of Coastal Bend

Pressing the submit button authorizes your request and sends the information entered to the city secretary's office. Please verify that all the above information is correct before submitting. There will be no preview page.

Before you submit this questionnaire, please help us ensure that appointments represent a broad cross-section of the community by also completing the

OPTIONAL INFORMATION FORM.