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(4) I have no delinquent City of Elgin taxes, utilities, or other City assessments; and have no pending claim against the City.*

Yes
No

(5) I receive no compensation from nor am I employed by, nor hold any other position with the City of Elgin.*

Yes
No

(7) Do you or your employer have any business dealings with the City of Elgin that might present a conflict of interest?

Yes
No

If yes, please explain:

Board members are required to participate in training and obtain a certificate of completion for the Texas Open Meetings Act and Public Information Act within 90 days after date of appointment.

I have read, understand, accept all Elgin City Code requirements relative to my proposed membership to the City of Elgin Board and/or Commission for which I am applying; and, based on my understanding of those requirements, hereby represent that I am fully qualified to serve accordingly.*

Please sign your initials.

Completing and submitting this application does not guarantee your placement on a city board. Your application will be reviewed and kept on file for 1 year for possible placement of an opening on a Board or Commission.

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