15 Appointment to Boards, Commissions, and Committees

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Bob Bowden 903-784-0699 p.l BOARD/C®MMISSION/COMMITTEE ~PP~IGATION The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximtun of two consecutive full three-year terms on a given body. In addition to thy;, general qualifications listed in the certif cation below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 Sl: First Street/P.O. Box 9Q37, Paris, Texas ?5461. p~~lV~~ BoardJComenissionJCommittee of Interest Airport Advisory Board Building & Standards Commission Civil Service Commission Economic Development Corporation ~'I-listaric Preservation Carrtmission [] 1-lousing Authority Board of Commissioners ~i~lain Street Advisory IIoard Q Municipal Band Commission ^ ParistLamar County Board. of He of Paris Planning & Zoning Commission CI~I C18rk ^ Public Library Advisory Board ^ T'ra.ffie Commission ^ Zoning Board of Adjustment Candidate :Information .._A ~. -- --- Address:_ ~'~ d ~ - Work Phone: l~•~~-.. ~~'? ~ - ~8_'`~__ Home Phone: ~"~: ,°~ .. ~.'~~ - t?t~ $'~ .~ Fax: f~~ ~._ -p ~ ~'' ~%`~'~jt~' B-mail. Address: tt,~zic `¢i~_~s,~ ~ca+'~~~ ~,1L L::G^~'~. Please note any special knowledge, education, or experience you have that is applicable to the function of the board., commission, or committee of interest {attach additional pages if necessary). if applicable, list dates of service on any City boards, commissions, or committees. Certification and Aufhorization By signing betow, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the Paws of the State nf'Texas regarding nepotism. and conflicts of interest of appointees to City boards, commissions, and committees. t also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the Ciry during my term. 1 understand that the number of positions an a given board, commission,. ar committee is limited a:nd that 1 may oat be appointed; however, if I am not appointed, I agree Ca be placed in a database far possible future nntif cation of topics aF irrterest. l certify that the information given. by me in this application is true and correct.and any false information ar misrepresentation is sufficient grounds far disquaii6cation. I authorize the Ciiy of Paris to verify all information provided in this application. In accordance with Section 552 of the Focal Cxoverrrment Cade, I understand that information provided in this application max be available to the public upon request. s ; /' Signature of Candidate: ~ G ~ilwG „_, ,V„_ Date:~~ ~ ~ _ For Cify Clerk's Use only Conf]ict of Interest: l' (N Indebtedness: Y / N Nepotism: Y ! N Lust.:. 1 2 3 4\J" 7 Previous. Sen~ice:,4 1 2~ 4 5 6 City of Paris Revised 02!19108 U1~~~