15 Appointment to boards, commissions and committees

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Bob Howden 903-784-0699 p.l BOARDICOMMISSION/C(JMMITTEE APPLICATION The Paris City Council is seeking committed individuals who are dedicated to the weli-being of the Paris communi.ty to serve oii its standing boards, commissions, and committees. Tn general, it is the City Council's policy to appoint persons to a maximum of two consecutive €'ull three-year ternas on a given bady. In addition to thg,seneral qualificatians li.sted in the certification below, other qualifications may be mandated by statvte, Gity Charter, ordinance, o.r resolution. Please compiete the inforxnation requested „g beIow and retum to: City Clerk, 150 SI: First Street/P.O. Box 9037, Paris, Texas 75461. Receivet,~ . Board/CommissionJCoramittee of Interest ❑ Airport Advisory Board ❑ Building & Standards Cammission ❑ Civil Service Commissian Econamic Development Corporation ~Iistoric Preservation Cnrnmission ❑ Housing Authority Board of Commissioners (~Main Street Advisory Board Candidate Information ❑ Munieipal Band Convnission 2008 ❑ ParisJLamar County Board of He~ of Paris ❑ Planning & Zoning Commission C~erk ❑ Public Library Advisory Board ❑ 7'raffic Gommission ❑ Zoning Board of Adjustrnent 1'+1ame: W1 4'C't &Mk)r)Ct !3 Address: 1 f6 5E Work Phone: ~~q,- 2!3q Horne Phone: 7C5. 2'.72--- c19S_0 Fax: If~~ E-mail Address: Guztaf-b4;:.Vc~eA_✓ Please note any special knowledge, education, or experience you h.ave that is applicable to the i`unetion of the board, commission, or c4mtnittee of interest (aftach additiaiial pages if necessary). If applicable, list dates of service an ariy City boards, commissions, or cammittees. Certification and Authorixation Iiy signiizg belaw, i acknowledge ehat 1 am aware and agree to the prohibitions of fhe City of Faris Charter ru►d the laws of the State af Texas regarding nepatism and contlicts of interest of appaintees to City boards, commissions, and eommittees. T also certify that if appointed I will attend at least 75 percent aP all regular msetings and shalt not have any delinyuent i.ndebtedness to tlie Gity during my term. [ understand that the number of positions on a given board, commission, or committee is 1'united a.nd that I may not be, appointed; hawever, if 1 ani not appointed, 1 agree to be ptaced in a database for possible future notifcation of tapics of interest. 1 certify that the information given by me in this appiication is true and correct.and any false in:formation or misrepresentation is sufficienc gounds for d.isquaiification. I authorize Yhe City of Paris to verify a.ll information providad in this application, ]n aecordance with Sectian 552 of the Locai Government Cade, t understand that information provided in this application ma be available to Lhe public upon request. Signatua-e of Candidate:~ ~Date: For Cit►^ Clerk's Use: Qalv Conilict of Tn#eXest: 1! ( N IndebkedIss: Y! N Nepntism: Y! N Dist: 3 2~. 4 5 Fcevious S~rv~iee: ~.1 ~ 4 S 6 City of Paris ~ Revised 02/29/08 ~