FROM :YouveGotPersonality.com FAX N0. :9837854263 Apr. 27 2008 04:54PM P1
<br />BUARU/COMMISSIUN/COMMITTEC APPqLICATION
<br />The Paris City Council is seekins committed individuals who are dedicated to the well-being af the Faris
<br />compnunity to serve on its standing boards, commissions, and committees. In general, it is the City
<br />Council's policy to appoint persons to a maximum of two cansecutive full three-year tenms on a given
<br />body. In addition to thg, general qualifications listed in the certification below, other qualific~ d
<br />mandated bY statute, City Charter, ordinance, or resolurion. Please complete the information reque
<br />below and return to: City Clsrk, 150 SE Pirst Street/P.O. Box 9037, Paris, Texas 75461. ~PRI ~tri 2 0 0 g
<br />Board/Commissian/Committee of Ynterest
<br />❑ Aitport Advisory Board
<br />$uilding & Standards Commissian ,
<br />0 Givil Service Commission
<br />[-I Economic Develapment Corporation
<br />Histaric Freservation Commission
<br />C] Housing Authority Soazd of Commissioners
<br />p Main street Aavisory Boara
<br />City vf Paris
<br />❑ Municipai Band Commission Cify Cierk
<br />❑ ParisJLamar County Baard of Health
<br />❑ Fiaruiing & Zaning Cammission
<br />❑ Public Libraty Advisory Board
<br />~ Traffic ComYUission
<br />❑ Zoning Board of Adjustznent
<br />canaiaate Infdrmanoo
<br />Name: 1? ~
<br />Address: ~~4 e, 9~
<br />Work Phone: I/Z 3 3 Home Phone;
<br />• ~ ~ ~Z ~ 3 E-mail Address:
<br />Fax:
<br />Please note sny special knowledge, education, or experience you have that is applicable ta the function of
<br />the board, commission, or cominitte.e of interest (attach additional pages if necessary). If applicable, list
<br />dates of service on any City boards, camnnissions, or committees.
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<br />Certilication and Aathorization
<br />By signing betaw, I aclrnowledge.that I am aware and agree to the prohibitions of the Ci#y o£Paris Gharter at►d the laws of tbe
<br />State, of Texas regarding nepotism and canflicts of anterest of appointeas m CitY boards, COmrit18810n9, and committees. I also
<br />ccrtify that if appointed I will attend at least 75 percent of all ragular meetings snd shall not have sny delinquent indebtedness
<br />ta the City during my term. I understand tha# the number af positions on a given board, commissian, or cammittee is hmited
<br />and that I may not be appointed; howerrer, if I am not appointed, I agree to be plaeed in a dotabase for possible future
<br />notification of topics of interesti i certify dtat the information giveA by me nn this applicatian is true snd correct and aay false
<br />information o.r masrcpresentation is suffic9ent grounds far disqualefic,ation. I authorize ths City of paris to verify a11
<br />information providefl in this appli tion. In accordance with Sectian 552 of the Locak Government Code, I understand that
<br />infarmstioa provided in this appli aay be availablo to the public upon request ~
<br />Signature of Candidate: Date:
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<br />City of Paris KeYw 02/19/U
<br />000242
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