E-Gov Services City of Brenham

CITY COMMITTEE/BOARD APPLICATION

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

Click here to Login | Click here to Register

Purpose. Please submit the following form if you are interested in serving on a City board or committee. The form will be emailed directly to the City Secretary, who will contact you. Thank you for your interest in serving the citizens of Brenham.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

Please indicate for which committee and/or board you are applying in the space below. Please include some background information and your reasons for wishing to serve the citizens of Brenham.

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.