Candidate Form

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

Full Name
 *
Resident of Amarillo for
 *
Home Address
 *
Zip Code
 *
Enter at least one phone number
Enter at least one phone number
Email
 *

Please select the top three boards that you want to serve on:

1st Choice

 *

2nd Choice

 *

3rd Choice

 *

The fields below are optional online but may be required in order to complete the application process for the board of interest.
Business:
Business Address:
Special knowledge or experience applicable to City Board and Commission function:
Professional Affiliations:
Areas of Interest:
Would any special physical accommodations be necessary for you to participage in meeting due to a disablility? If so, what?
Please specify any time constraints you may have:
I have attended one or more meetings of the board or commission for which I have applied:
 *
I have attended one or more meetings of the board or commission for which I have applied:
I authorize to Release Personal Information:
 *
I authorize to Release Personal Information:
Amarillo 101 Participant:
 *
Amarillo 101 Participant:
I am a registered voter and reside inside the city limits
I am a registered voter and reside inside the city limits
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