Membership Application

 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.