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Task Force on Aging Application Form

  1. If retired, please indicate former occupation.

  2. Are you a resident of the City of Buda?*

  3. If no, are you a resident of the City's Extra Territorial Jurisdiction (ETJ)?

  4. PLEASE NOTE THAT THIS APPLICATION IS ONLY VALID FOR THE VACANCIES FOR WHICH YOU ARE APPLYING. IF YOU WISH TO APPLY FOR VACANCIES IN THE FUTURE, YOU WILL NEED TO FILE A NEW APPLICATION AT THAT TIME.*

    I hereby certify that the foregoing and any attached statements are true, accurate, and complete. I agree that any misstatement, misrepresentation, or omission of fact may result in my disqualification for appointment. I also understand that this application is subject to disclosure under the Texas Public Information Act.

  5. Leave This Blank:

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