15-Deliberate and act on a Resolution appointing members to various boards, commissions, and committees

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BOARD/COMMISSION/COMMITTEE APPLICATION 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 CounciPs policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general qualifications listed in the certification 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 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Municipal Band Commission ❑ Building & Standards Commission ❑ Paris/Lamar County Board of Health ❑ Civil Service Commission ❑ Planning & Zoning Commission )qEconomic Development Corporation ❑ Public Library Advisory Board ❑ Historic Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ❑ Main Street Advisory Board Candidate Information HomePhone: 963 mail Address:~, AAW~1~pA%4 9 ~/Si BA1L4/~tJCl'~,A'~~ 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 Authorization By signing below, I acknowledge that 1 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 ali regular meetings and shall not have any delinquent indebtedness to the City dunng 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 1 am not appointed, t agree to be placed in a database for possible future notification of topics of interest. I certify that the information given by me in this application is true and correct and any false information or misrepresentation is suf cient grounds for disqualifcation. 1 authorize the City of Paris to venfy all information provided in this applicatio . acc rdance wit ection 552 of the Local Government Code, I understand that o the public upon request. information provided in th pplica ay be av laaw~ Signature of Candidate. Date: ~ For Citv Clerk's Use Oniv Conflict of Interest: Y/ N ladebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 I 2 3 4 5 6 City of Paris Revised 08/19/08 130 ~ Work Phone: HU 3 2,0 S A~ q 9 Fax: %3 7 ~q~q E- ~.i u`*VA • ~ ~ ~cti. 3-