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The following form was submitted via your website: Application for Boards/Committee/Commission <br />First Name: Britin <br />Last Name: Bostick <br />Address: 425 South Church Street <br />City: Paris <br />State: TX <br />Zip: 75460 <br />Telephone (903) 123-4567: (512) 496-0573 <br />Areas of Interest: Street Advisory Board <br />Please note any special knowledge, education, or experience you have that is applicable to the function of the <br />board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of <br />service on any City boards, commissions, or committees.: I have a Bachelor of Environmental Design with a <br />Minor in Architectural History from Texas A&M University. I have served as both the Color Guard coordinator <br />for the Lone Star Girl Scout Council and the Career Fair Coordinator for the Texas A&M Department of <br />Architecture, so I know a lot about event planning and organization! I volunteered at Movies in the Park last <br />summer (2009) and would like the opportunity to contribute more. <br />Certification and Authorization I acknowledge that I am aware and agree to the prohibitions of the City of Paris <br />Charter and the laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City <br />boards, commissions, and committees. I also certify that if appointed I will attend at least 75 percent of all <br />regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that <br />the number of positions on a given board, commission, or committee is limited and that I may not be appointed; <br />however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of <br />interest. I certify that the information given by me in this application is true and correct and any false <br />information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify <br />all information provided in this application. In accordance with Section 552 of the Local Government Code, I <br />understand that information provided in this application may be available to the public upon request.: Agree <br />Additional Information: <br />Form submitted on: 4/7/2010 5:15:16 PM <br />Submitted from IP Address: 74.195.68.34 <br />Form Address: http://www.paristexas.qov/forms.aspx?FID=69 <br />z <br />~5-S <br />