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 comcnittees. In general, it is the City Council's policy to appoint persons to a maximum of two consecuUve 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 retum 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 ❑ Economic Development Corporation ❑ Public Library Advisory Board MHistoric Preservarion Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ❑ Main Street Advisory Board Candidate Information Name: FRA U L I4L bE NN FY Work Phone: -3,)'78'~ ^ 4'3 ( S Home Phone: Fax:~~D E-mail Address: O 1 @AN2s~.' 2j02~4;k1`C .n „W,4` Please note any special lrnowledge, 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. AJIA-5i? EfZ GE A~.4H17rE G-[ L.Jf?„ F D&P P-- TI-I E L N IV. . DF TEXAS AV_L1W61''0N - IRE41sMIZED Aee k-TES,7 IN -G..yE- sTATE dr- 7F-XA5 #972s - 2~ts7~e~ II'"j' 10+,2 'fJ~.S(~„t~ET~ - lo VC ,41t `Y.HE I4P C Certif3caHon 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 aiso 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 posi6ons on a given boazd, commission, or committee is limited and that I may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the inforniation given by me in this application is true and coirect and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this applicadon. In accordance with Section 552 of the Local Government Code, I understand that information provided in this applic tion may be available to the public upon request. Signature of Candidate: _LddAts Date:T (Jo ~ ~,irCitv iClerk'~s Iv Conflict of Interest: I' J N Indebtedness: Y/ N Neputism: Y/ N Dist.: 12 3 4 5 6 7-Previous Service: 0 12 3 4 3 6 CiTy of Paris Revised 08/19/08 149