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BOARD/COMMISSION/COMNIITTEE APPLICATION T'he Paris City Council is seeking conunitted 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 maximiun of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification below, other qualifications inay be mandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested bel.ow and return to: City Clerk, 150 SE First StreetJP.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Boazd ❑ Building & Standards Commission ❑ Civil Service Commission x0 Economic Development Corporation Ej Historic Preservation Commission ❑ Municipal Band Commission ❑ Paris/Lamar County Boazd of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board, ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjust e t ❑ Main Street Advisory Board C EIvE Candidate Information MAR 3 12009 Name: Glen Bawcum g~ Address:a 820 ~4,j_vQr1onf nr; vP, Paris, TX 75462 Work Phone: (903 ) 784-8989 Home Phone: ( Ao3 ) 785-0625 Fax: (903) 784-0808 E-mail Address3len bawcum@toyotaofparis . com Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or comrnittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Paris Economic Developement Corp. 2005-Present Currently Vice-Pres. Lamar County Chamber Board 1994-1996 Pari c RPai onal Medical Center Board 2005-Present Currently Vice-C hair. TlnitPd wav Lamar County Board Member 1998-2002 Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all regulaz meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in ihis application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification I authorize the City of Paris to verify all informadon provided in this application. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this ap i t' n may belable to the public upon request. Signature of Candidate: ~ - Date:_ 3/2 7 j o1 ,For Citv Clerk's .Use Only Conflict of interest: Y(~)lndebtedness: Y/ gNepotism: Y/ @Dist.: 12 365 6 7 Previous Service: 0 12 4, 6 City of Paris , Revised 02/19108 of l.ioo1I 1