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Janice Eliis <br />From: support@civicplus.com <br />Sent: Friday, March 26, 2010 1:50 PM <br />To: Janice Ellis; Denene Taylor <br />Subject: Online Form Submittal: Application for Boards/Committee/Commission <br />If you are having problems viewing this HTML email, click to view a Text version. <br />Application for Boards/Committee/Commission <br />The Paris Cify Cauncl is seeft committed individuals w#to are dedicated t0 4taa wa#-b*kV of Iha Paft carrtmw'Ay tc~ mw on its <br />stardng boards, commimiom, ancl commit#ees. In generid, it is ttaa CRy cowvrs pictW toio a n~m~+Mn ~ twro <br />consec~rtive iu~t-three-ye~'t+e~r~►s ~a giv+en body.ln add~ to ~e+ ileft" qr~~a ~ec1 l" !hs +cei'lir+ceffion 116616r1 t#er <br />qualificatbns may be mwxked bv stamte, Citv Ct+arter, ordkwme, tr msouWn. P11sase Ohe infornatiicm mquested aelcrw. <br />First N2me' ViC `Lst Resser <br />Address"` 44~t! Rob-w1c St. <br />City- Paris ;State' TX Zip" '(),7546Q (X) 75462 <br />, t ) 75+16i <br />T(e~~le~~IVJph.ore 9(~-7~27 <br />(J)IZ~7'^7tW7Y . . : . . . . . . . . . <br />Ar+aas of IM&rest' <br />Pteass note any specjal luwwhtdge, 8ducation, or <br />@Xp8i38i1C@ ya1 t1W@ #W tS appft" t0 ti8 fimcfiDfi <br />Of #he bQald, GOpift'iksim, Of t`om11dft@ i3f H')bo@S# <br />(8tt8Cfi addftkxW F?oW 1f:1#8i;@SSBfy). If 8p;1licabl8, <br />list dates of service on any City boanis, commissions, <br />or committass. <br />Certification and Augwrizatlon <br />1 scknowledge duai I afn awana and agreE to the prottibitions of the Cily af Peris fihMW afW the WM of !he StOO of T"P rOPrdWg <br />nepotism and cxor►tcis af irftreat of appaintees bo Cfty loards, =rnrftsiaKes. oa»n+~~. !~~'~t N ~n~ed l wAl <br />atter►d et 75 ~rcent of all regufar meatings artd shaM raat haae ~r ~rst N*6WInew4c~ the Ciby during fiy tertn. I <br />undarstand that the number ot positions on a glven board, ctimMWm, t►r tormfte lB loftdoiud,OW1 may rrotDe qVokftd; <br />however, if 1 am rot appoin#ed, Iagree to be placed In e catabase for ponme luttre nwcstiOr► of Wpics of kftret i c,ww th8t fie <br />inforrnation given by me in this aWiication is true and conect arrui sny false kfomsftn or mis+oapneserftilor► is s ' graurtts €or <br />d#squaiiiication. i auihtuize the Gty of Paris to verii'y al! Mnnation Wmklod In lhis appfcatlion. macomdance whh Sesdtm 562 of the <br />Local Govemment Code, l uretierstand that infartnatf~on provided In th3s applicaftn may be avab#rle to tha pnWic upon reqtiest.* <br />[X] A9ree <br />[ l Disagtne <br />* indicates required fields. <br />- 0 0 016~ <br />