2. Upcoming Board and Task Force vacancies that are to be made tentatively in July 2023, are as follows:

   • Border Film Commission (3)
   • Public Utilities Board (2)
   • Ethics Advisory Commission (4)
   • Main Street (4)
   • Audit & Oversight Committee (2)
   • Building and Standards (5) Regular Members and (2) Alternates
4. Board(s) or Committee(s) Selection*

   Please use the options below to name the board(s) or committee(s) in which you would like to apply to serve.

   1. Airport Advisory Board
   2. Audit and Oversight Committee
   3. Animal Shelter Advisory Committee
   4. Beautification Committee (BBC)
   5. Bicycle & Pedestrian Advisory Committee
   6. Board of Adjustment
   7. Building & Standards Commission
   8. Capital Improvements Advisory Committee (CIAC)
   9. Charter Review Committee
   10. Citizens Advisory Committee (BCAC)
   11. Convention & Visitors Bureau (BCVB)
   12. Community Improvement Corpora
   13. Ethics Advisory Commission

   1. Film Commission
   2. Greater Brownsville Incentives Corporation (GBIC)
   3. Historic Preservation and Design Review Board
   4. LGBTQ Task Force
   5. Main Street Advisory Board
   6. Parks & Recreation Advisory Committee
   7. Paseo de la Resaca Landscaping & Lighting
   8. Planning & Zoning Commission
   9. Public Library System Advisory Board
   10. Public Utilities Board (BPUB)
   11. Reinvestment Zone 1
   12. Special Needs Advisory Board
   13. Transit Advisory Committee
6. TASK FORCE SELECTION

   1. Environmental Task Force
   2. LGBTQ Task Force
8. Do you consider yourself a member of the lesbian, gay, bisexual, transgender, queer community?
   -- Select One --YesNoNo, but I identify as an allyPrefer not to say
10. Airport Advisory Board
    Click here for more info
11. Beautification Committee (BBC)
    Click here for more info
12. Bicycle & Pedestrian Advisory Committee
    Click here for more info
13. Board of Adjustment
    Click here for more info
15. Building & Standards Commission
    Click here for more info
16. Capital Improvements Advisory Committee (CIAC)
    Click here for more info
17. Convention & Visitors Bureau (BCVB)
    Click here for more info
18. Community Improvement Corporation
    Click here for more info
20. Greater Brownsville Incentives Corporation (GBIC)
    Click here for more info
21. Historic Preservation and Design Review Board
    Click here for more info
22. Main Street Advisory Board
    Click here for more info
23. Parks & Recreation Advisory Committee
    Click here for more info
25. Paseo de la Resaca Landscaping & Lighting
    Click here for more info
26. Planning & Zoning Commission
    Click here for more info
27. Public Library System Advisory Board
    Click here for more info
28. Public Utilities Board (BPUB)
    Click here for more info
30. Transit Advisory Committee
    Click here for more info
32. Personal Information / Demographics
    The following information helps track our recruitment and diversity efforts.
34. First Name*
35. Middle Initial
36. Last Name*
37. Age*
39. Preferred Pronouns
40. Preferred Name
42. Residential Address*
43. Residential Zip Code*
45. Mailing Address*
46. Mailing Zip*
48. Email*
49. Home Phone*
50. Cell Phone
51. Fax
53. Sexual Orientation
    -- Select One --Straight/HeterosexualGay or LesbianBisexualPrefer to self-describePrefer not to say
54. Gender
    -- Select One --MaleFemaleNonbinary or third GenderPrefer to self-describePrefer not to say
56. Ethnicity
    -- Select One --Asian or pacific islanderAfrican AmericanAmerican Indian/Alaskan Native AleutianHispanicCaucasian/Non-HispanicOtherUnknownPrefer not to answer
57. Date of Birth
    Date of Birth
59. Background
61. Highest Education Level*
    -- Select One --High SchoolCollege/UniversityGraduate School
62. Please specify*
    Enter highest grade completed or hours earned.
64. Certification(s) or Degree(s)
65. Professional Affiliations
66. Volunteer or Community Experience
68. Other Public Service:
    Please include: Organization name, level of service (city, county, state, federal), Dates of service, position (chair, president, member, etc.)
70. 
    Area of Interest (Related to City Departments)
    Please list
71. Please provide a brief narrative outlining your reasons for seeking appointment to a City board or commission:
73. Have you ever been hired for a position with the City?*

    1. Yes
    2. No
74. If yes, which department?
75. If yes, what dates?
77. Reason for leaving City employment?
79. Current Employer*
80. Employer Address
81. Employer Zip Code
83. Appointment Qualifications
85. Are you qualified to vote in a City of Brownsville election?

    1. Yes
    2. No
86. Are you a City of Brownsville resident?

    1. Yes
    2. No
87. How long?
89. Have you ever represented any other private person, group or entity for compensation before the City Council or any department, commission, board, or committee of the City within the last three years?

    1. Yes
    2. No
90. In which City Council district do you reside?*
    -- Select One --1234
91. How long?
93. Do you or your spouse, or your employer have any financial interest, direct or indirect, in any contract with the City (including serving as an Administrative Aid to a Council member?)

    1. Yes
    2. No
94. Do either you, your spouse, or your employer have any financial interest, directly or indirectly, in the sale to the City of any land, materials, supplies or service?

    1. Yes
    2. No
96. Do you have any litigation pending or completed within the last 12 months, either personally or professionally, that would affect your ability to fulfill the functions of the board or commission, if selected?

    1. Yes
    2. No
97. If yes, please describe:
99. Have you ever been convicted of violating any federal, state, or municipal law, regulation, or ordinance?

    1. Yes
    2. No
100. If yes, please give details
102. Are you related to any city commissioners or the mayor?

     1. Yes
     2. No
104. CONSENT FOR CITY TO CONDUCT A SEARCH OF CRIMINAL HISTORY RECORDS AND RELEASE OF PUBLIC INFORMATION.
     I hereby state that all of the information in this application for appointment is true and correct. I further request, as a part of my application, that all law enforcement officials and criminal justice agencies release any criminal history records concerning me to the Office of the City Secretary of the City of Brownsville in order that qualifications may be checked. I understand that if any member of the public makes a request for information included in this application for appointment, most of the information must be disclosed under the Public Information Act. I understand that the City of Brownsville will attempt to maintain the confidentiality of highly private matters by seeking an Attorney General’s opinion in accordance with the Public Information Act. I understand that it may not be legally possible to maintain the confidentiality of such information, and I hereby release the City of Brownsville, and its agents, employees, and officers, from any and all liability whatsoever if the information must be released pursuant to the Public Information Act or any other law requiring its release.
106. I have read and understand the guidelines set out this application. The foregoing statements are true, accurate, and complete: and I agree that any misrepresentation or ommission of facts may result in my disqualification for appointment.
     NOTE: All information provided herein, or pursuant hereto, is considered public record upon receipt.
108. I agree*

     1. Please check box to agree.
110. Electronic Signature

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree
112. Electronic Signature*
Leave This Blank:


114. Submit

* indicates a required field