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Contact Information

500 E. San Antonio
Suite 302A
El Paso, Texas 79901
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countychiefadmin@epcounty.com

Application for County Historical Commission

Name:
Voting Precinct:
Home Address:
Street: City:
State: Zip:
Phone Number: Cell Phone Number:
Email Address:
PURSUANT TO TEXAS GOVERNMENT CODE, SEC. 522.021. I ELECT THAT MY HOME ADDRESS & TELEPHONE NUMBER (CHECK ONE): MAY BE RELEASED / SHALL NOT BE RELEASED TO THE PUBLIC UPON REQUEST UNDER THE TEXAS OPEN RECORDS ACT. FAILURE TO MAKE A DESIGNATION RESULTS IN INFORMATION BEING AVAILABLE FOR PUBLIC ACCESS.
In accordance with the law that creates the County Historical Commission, the members of the commission must be individuals who broadly reflect the age, ethnic, and geographic diversity of the county. (Sec 318.003, Texas Local Government Code).
Age:
Ethnicity:
Gender:
Additionally, according to the same law, each member must have an interest in historic preservation and an understanding of local history and resources. Please provide any additional information that you would like the court to consider under this item.
Place of Employment:
Business Address:
Telephone:
Fax Number:
Professional Background:
Educational Background:
Three (3) personal or proffessional references not related to you:

Name

Phone

Years Known

Name

Phone

Years Known

Name

Phone

Years Known
Previous volunteer organizations and/or community service:
Length of Residency in El Paso County: (Years/Months)
Do you have property in El Paso County under your name? (Yes) (No)
Are your property taxes currently paid? (Yes) (No). If not, please give a brief explanation:
Are you an elected officer, county employee, county affiliate, or employed as a lobbyist? (Yes) (No)
If so, please specify.
Signature: Date: