Please complete the online form below.

Today's Date (mm/dd/yyyy):*

District First Choice:*

Select One Downtown Municipal Management District Pecan Grove Municipal Management District (to be filled at a later date) Waterfront Entertainment Municipal Management District (to be filled at a later date)

District Second Choice:*

Select One Downtown Municipal Management District Pecan Grove Municipal Management District (to be filled at a later date) Waterfront Entertainment Municipal Management District (to be filled at a later date)

Personal Information

Last Name:*

First Name:*

Home Address:*

City:*

ZIP Code:*

Home Phone Number:*

Business Phone Number:

Cell Phone:

Email Address:*

Residency Information

Length of Residency in Rowlett (please note that the City of Rowlett has established a requirement that all voting directors must be residents of Rowlett, Texas, and must otherwise meet the minimum qualifications for service as a member of an appointive board or commission of the City):

Length of Residency in Rowlett:*

Are you a registered voter in Rowlett? (All members of citizen boards and commissions must be registered voters, residing in the City of Rowlett.):*

Yes

No

If yes, what is your registration number:

Birthday (mm/dd/yyyy)(This information is needed only if you do not know your Voter's Registration Number)

Employment

Briefly describe your past two places of employment, including job title(s), dates of employment, location of job, typical duties, etc.*

Education

Please describe your educational background, including the highest level attained and all college degrees, technical training, certifications, etc. that are relevant:*

Skills and Qualifications

A. The City of Rowlett has established criteria that directors must have documentable knowledge, skills and/or experience in financial, real estate, economic development or other financial acumen. Such criteria may be met by holding relevant graduate or undergraduate degree(s); work as an employee, owner or partner in a relevant business or firm; or some other combination of knowledge or skills indicating that the applicant meets the minimum qualifications.

List any specific skills, abilities, and qualifications that are relevant to the position applied for:*

B. Another requirement is that directors may not own property nor live within the boundaries of the district in order to maintain objectivity and real or perceived conflicts of interest. Please certify the following by stating your name below.

I certify, by typing my name, that I do not own any property within the district for which I am applying to be a director nor do I reside within the district. *

Membership Information

Are you currently serving on other Boards or Commissions?*

Yes

No

If yes, which one:

Have you served on a Board or Commission before?*

Yes

No

If yes, which one:

Reason for Applying

Please describe your reason for applying to be a director for one of the Rowlett Municipal Management Districts. Please include any particular goals you have, and any unique talents, experiences, or interests that would help make you an excellent director:*

References

Please provide names and phone numbers of three references, other than relatives.

First Reference:*

Second Reference:*

Third Reference:*