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Board, Commission & Committee Application

  1. Are you over the age of 18?*
  2. Are you a registered voter in Justin?*
  3. Are you a Justin resident, property, business owner, or City Staff?*
  4. Are you a current or past member of a Council-appointed Board, Commission, or Corporation?*
  5. Do you or any member of your immediate family residing in your household, hold a position (paid or unpaid) with any person or organization, or have a contract with or any obligation to any person or entity which might constitute a conflict of interest?*
  6. Have you ever been convicted of a felony, violation of law, or misdemeanor involving moral turpitude (any offense involving lying, stealing, or cheating?)*
  7. Are there any criminal charges or proceedings pending against you?*
  8. Leave This Blank:

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