Membership Application

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 Application for Appointment to the Johnson County, Texas Historical Commission

(Please Print)


Date: ________________


 Name: ______________________________________________________


 Mailing Address: ______________________________________________


 City: ___________________________  Zip: ________________________


 Home Phone: _____________________ Cell: _______________________


Email: ______________________________________________________


 Projects you are interested in: __________________________________________________________


I agree to be an active member of the JCHC and understand that I should attend at least 2/3 of the JCHC meetings to retain appointment.


Initial: ______________


 Approval Date: ________________________



Application will be submitted to Johnson County Commissioner’s Court for final Appointment approval.