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

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FRnrI : _r McFaddzt, x Hssoc FAX N0. :9037^o54cb.j Apr. 15 2010 09:21Ah1 P 1 BOAItD/COM.MiSSION/CQMMITTEE APPLICATIOIY The Paris C'ily Co,uncil is sceking cotnmitted individuats who are dcdicated to tiic well-being oi'the Paris COmnilunity t0 serve on its standing Uoards, commissions, and conuiiittecs. in general, it is tIle City Council's poliey to appoint persons to a maxirnum of two eanseettlive full tlu•ee-ycar terlns ou agivcn hody. In addition to the bcneral qualifications listed in thc cecrtification below, otlier quali f1Cationti tnay be manda.ted by statutc, C.ity C12ACtCr, ordinaucc, or resolution. Ylease complete the inforniation requcsied beluw and retw-n to: City C'lerk, 150 SE First Street/P.O_ l3ox 9037, Paris, 1'cxas 75461. Board/Commission/Cornmittec of'Intcrest ❑ Airport Advi`ory Board 0 Fiuilciing & Staidtirds C:ummissicnl C.iviI Service C:ommission ❑ Ecoiiomic l)evelaPmcnt C'orporation ❑ Historic PreSet`valion Comi-nission ❑ Housing 1luthority Board of Cummissioners ❑ Main Strccl Advitim.y Board Cand;date Informat;on Natric: Ta p f`AOQ0~d ndare5s: 53~ ~11_9uR~ ❑ Mtinicipal Baiid Cc>mtnissicm Paris/Lama,r Cnutrty Board uI'I-iealtn ~ Ylanning 8c. %oning C'ommitision ❑ Public i.ibrary Advisory 13oarcl ~ Traffic C:'omtttission ❑ Zcming Board uf Adjusiment Work Phone: qo3' 2 4 lo - 9~ Home Yhone: ~ p ~ ~f ~ - 1ax' L-mail Address: on l~. I bh MG-A dden ,com Ylcase ncite any special knowledgc, education, or cxperienec you liave tha.t is applicable to the funciion of ehe board, commission, or com.mittce of intcresi (attach additiuna] pages if necessary), lf applicablc, list clates of service on any City boards, commissions, or commilcees. ~Ej~Vc,~ ~ ~/4,(_ 6_w~j)jLAE o,V -InAFrl( 6U)qr,,fs* T wOuO ~r I 0_0t~<ZD IT) ',TAj,N& Jjy V PL~JJ~}NV ~ ZaNIj& N65~6), Certifc:ttion and Authorization Ry signing below, 1acl:rwwledge that f am awarc and agree to Lhe prohibitions of thc City of Paris Chfli-ter Und the laws of the State of'rcxa, regflriling LizpuLiyni and cunfliCts of inccrest of Zppointees to City boards, comniissiims, and cummittces. I alsu certify that if.,ppointed I will attend at least 75 percent ol'all regulzu• mcetings and shall nol have any itclinquent indebtcdness lo the City during my tertn. f unders[and that the number of pasitions on xgiven 6osrd, comcriission, or cummittee is lirriitcd arid that I ir,ay ,1uc he appo;mud; however, if I arn not appointcd, 1 agrcc to be placed in a datahase fur pussible ftrture rioti(icitiun al' topics of interest. I cerkify thxt the irtfortnalion given by me iti this applicfllion is tnie anil con-ect attd itty fa15e inlunni[ion or ni15reprL-szjitation is sufficicnt grounds f6r disquqlitication. f autliorizc the C'ity ul Paris to veriiy aIl infurmalio,i proviilcd in this apefltian. fn flccurdance with Scction S52 of the Local Government Code, I understattd lhat infurni1tion provided in this appl' •at~~na ~b ^vailablc to tl,e public unou requcst. ~ign~ihirc c~l'Candic~ale: ~ U f 16 ~ h~~ Zo/U lllate: For ('It CI rk's li,se nl Lo►nflict of intewest: Y/:N I ndcbtedneSs: Y/ N Nepotisny: YJ I2 3.4 5 6 7 Previuus Service: U 12 3 a 5 6 C:itv uf Paris ~ Rcviyed 08/14/08 17