City Board And Commission Application

Personal Information

Is your Mailing Address the same as your Residential Address?
Do you currently live inside the city limits of Temple? *
What City Council District do you live in? (View City Council District Map*
Do you currently live within a City Council established Neighborhood Planning District? (View Neighborhood Planning District Map*
Are you currently enrolled in high school? *

Qualifications

Do you have any of the credentials listed below?
If you chose Licensed Architect, do you have any of the additional credentials listed below?
If you chose Licensed Real Estate Sales Agent or Broker, do you have any of the additional credentials listed below?
If you chose Professional Engineer, do you have any of the additional credentials listed below?
If you chose Registered Contractor, do you have any of the additional credentials listed below?

Do you own a property that is fifty years old or older and either has historic significance to the community or has architectural significance? *
Do you have a demonstrated interest in historic preservation? (Note: This is required to be appointed to the Historic Preservation Board) *
Are you affiliated with an animal welfare organization (for example, APAC)? *
Are you an employee or board member of a non-profit organization whose purpose is the provision of affordable housing? *
Do you own a business located within the Main Street District? *
Do you own a property located within the Main Street District? *
If you are applying to be on the Diversity, Equity, and Inclusion Commission, please indicate if you are a member of one or more of the following groups

Nepotism

As part of the application process, an applicant for a board or commission appointment must disclose whether they are related within the second degree of affinity or third degree of consanguinity to a current employee or elected official of the City of Temple. Applicants should refer to this chart for information on which relationships must be disclosed. In order to minimize the potential for actual or perceived conflicts of interest, the City Council will take into consideration relationship information when making board and commission appointments.

Are you related by blood or marriage to any member of the City Council or any person now employed by the City of Temple or serving on a City board or commission1*
1 This includes City-established boards and commissions as well as boards and commissions to which the Temple City Council makes one or more appointments such as the Bell County Appraisal District and the Temple Economic Development Corporation.

Current or Previous Service

Are you currently or have you previously served on a City of Temple Board or Commission? *
If yes, please select all that apply
 CurrentlyPreviously
Airport Advisory Board
Animal Services Advisory Board
Building & Standards Commission
Building Board of Appeals
Citizens Police Advisory Commission
Civil Service Commission
Development Standards Advisory Board
Diversity, Equity & Inclusion Commission
Emergency Services Advisory Board
Historic Preservation Board
Library Board
Main Street Advisory Board
Neighborhood Revitalization Advisory Board
Parks and Recreation Advisory Board
Planning and Zoning Commission
Tax Increment Reinvestment Zone No. 1 Board
Youth Advisory Commission
Zoning Board of Adjustment

I AM INTERESTED IN SERVING ON THE FOLLOWING BOARDS AND COMMISSIONS

MARK YOUR CHOICES BELOW

PLEASE NOTE: Your choices above will be considered first, however please indicate if you are willing to be appointed to another board or commission that has a vacancy that needs to be filled, even if it is not one of your choices above. *

Member Responsibilities

Please read and refer to the Board and Commission Member Responsibilities section of the City of Temple’s Board and Commission Policy here and the City of Temple Code of Ethics Ordinance here before answering the following two questions.
Do you understand and agree to adhere to the requirements listed in the Board and Commission Member Responsibilities section of the City of Temple’s Board and Commission Policy and the City of Temple Code of Ethics (if applicable)? *
Do you know of any reason you might have a conflict of interest (as described in the Board and Commission policy or the Code of Ethics) as a result of your service on any of the boards/commissions to which you are applying? *
Do you understand that prior to appointment for any position designated as a security- or safety-sensitive position, a background screening must be conducted, including a criminal record background check? If you have any questions or concerns regarding these mandatory pre-appointment screenings, please contact the Office of City Secretary at 254- 298-5700. *

Supplemental Questions

Have you ever attended a meeting of the board/commission(s) for which you have applied? *
Have you read the minutes of recent meetings of the board/commission(s) for which you are applying? *

Demographic Information

The City of Temple strives to appoint board and commission membership reflective of the City of Temple's diversity of residents. The questions that follow help us to gather information to monitor how closely our boards and commission align with the diversity of our City. Responses are voluntary and this information will not be used in the appointment process.
Highest Level of Education
Ethnicity (check One)
Race (Check all that apply)

Texas Public Information Act

City of Temple Officials are able to choose whether or not their home address, home telephone numbers, emergency contact information, social security number, and information that reveals whether they have family members are available to the public on request. The Texas Public Information Act is a State law that requires the City of Temple to disclose this information to anyone who requests it. The only exceptions are for: 1) commissioned peace officers; and 2) Official who file a written request to withhold this information. Officials who are not peace officers and who do not submit such a written request will have this information made available to anyone who requests it.
Do you choose to have your home address, home telephone number, emergency contact information, social security number and information that reveals whether you have family withheld from members of the public? *

Acknowledgement

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SUBMITTING YOUR APPLICATION:
 
I CERTIFY THAT ALL STATEMENTS THAT I HAVE MADE ON THIS APPLICATION AND ANY OTHER SUPPLEMENTARY MATERIALS ARE TRUE AND CORRECT. I HEREBY AUTHORIZE THE CITY OF TEMPLE TO INVESTIGATE THE ACCURACY OF THIS INFORMATION FROM ANY PERSON OR ORGANIZATION, AND I RELEASE THE CITY OF TEMPLE AND ALL PERSONS AND ORGANIZATION FROM ALL CLAIMS AND LIABILITIES ARISING FROM SUCH INVESTIGATION OR THE SUPPLYING OF INFORMATION FOR SUCH INVESTIGATION. I ACKNOWLEDGE THAT ANY FALSE STATEMENT OR MISREPRESENTATION ON THIS APPLICATION OR SUPPLEMENTARY MATERIALS WILL BE CAUSE FOR REFUSAL OF APPOINTMENT OR IMMEDIATE DISMISSAL AT ANY TIME DURING THE PERIOD OF MY APPOINTMENT.