Laserfiche WebLink
Janice Eliis <br />From: support@civicplus.com <br />Sent: Wednesday, May 11, 2011 6:45 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 Gity Couneil is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its <br />standing boards, commissions, and committees. In general, it is the City Council's poGcy to appoint persons to a maximum of two <br />consecutive full three-year terms on a given body. In addition to the general qualiflcations listed in the cert'tfication below, other <br />qualifications may be mandated by statute, Ciry Charter, ordinance, or resolubon. Please complete the informaton requested below. <br />First Name' Jerry Last Haning <br />Namex <br />Address" 1213 Pine Bluff <br />City' Paris State" TX Zip" (X) 75460 O 75462 <br />Telephone <br />(903) 1234567' <br />Areas of InteresY <br />Please note any special knowledge, education, or <br />experience you have that is applicable to the function <br />of the board, commission, or committee of interest <br />(attach additional pages if necessary). If appficable, <br />list dates of service on any City boards, commissions, <br />or committees. <br />Certification and Authodzation <br />75461 <br />903-491-9349 903-784-4034 <br />[ j Airport Advisory Board <br />Municipal Band Commission <br />Building & Standards Commission <br />[ l Paris/Lamar County Board of <br />[ ] Civil Setvice Commission <br />Health <br />Economic Development <br />[X] Planning & Zoning Commission <br />Corporation <br />Pubtic Library Advisory Board <br />Historic Preservation Commission <br />[ l Traffic Commission <br />Housing Authority Board of <br />[X] Zoning Board of Adjustment <br />Commissioners <br />[ ] Street Advisory Board <br />Served on Fire and Building Code Review Committee in 2010. Was a <br />homebuilder in Paris and Lamar ca. for <br />26 years. Changed to commercial <br />building and worked mosUy out of town <br />for 12 years. Now I am semi retired. <br />I acknowledge that I am aware and agree to the prohibitions of the Ci4y of Paris Charter and the laws of the State of Texas regarding <br />nepotism and conflicts of interest of appointees to City boarcfs, commissions, and committees. I atsa certify that if appointed 1 wili <br />attend at least 75 percent of afl regular meetings and shall not have any delinquent indebtedness to the City during my term. I <br />understand that the number of positions on a given board, commission, or committes is limited and that I may not be appointed; <br />however, if I am not appointed, 1 agree to be placed in a database for possible future notification of topics of interest. I certify that the <br />information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for <br />disqualification. 1 authorize the City of Paris to verify all information provided in this applicatian. In accordance with Section 552 of the <br />Locat Govemment Code, I understand that information provided in this application may be available to the public upon request.'' <br />[X] Agree <br />` indicates required fields. <br />[ j Disagree <br />The following form was submitted via your website: Application for Boards / Coinmittee / Commission <br />69 <br />