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Application to Serve on a Board or Commission

  1. Are you a resident of Lake Jackson*

  2. Do you give consent to publish your email address on various city media outlets?

  3. Number of years

  4. Are you a registered voter?

  5. Education

    Select all that apply

  6. Please choose from the dropdown menus listed below which boards and/or commissions you are interested in serving on. Please choose 3 boards below that interest you the most:

  7. By selecting the accept button below you are acknowledging that the information submitted on this form is considered to be public information. *

  8. Leave This Blank:

  9. This field is not part of the form submission.