Laserfiche WebLink
Janice Ellis <br />From: support@civicplus.com <br />Sent: Monday, May 02, 2011 4:48 PM <br />To: Janice Ellis; Denene Taylor <br />Subject: Online Form Submittal: Application for Boards / Committee I Commission <br />If you are having problems viewing this HTML email, click to view a Text version. <br />Application for Boards / Gommittee ! Gommission <br />The Paris City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to senve on its <br />standing boards, commissions, and cornmittees. In generaf, it is the Ciry GounciPs policy tn appoint persons to a maximum of two <br />consecutive fiitl three-year terms on a glven body. In addttion to the gene_ra.l .guali~'rcations IPsted irâ–º tihe certtfEation betaw, other <br />qualifications may be manda#ed by statute, City Charter, ordinar~ce, orl~eso~u~ion. Please camptete the infiormation requested below. <br />First Name' Vicki Last Ballarc! <br />Name" <br />Address` 1465 NE 20th <br />City' Paris State"' TX Zip" (X) 75460 75462 <br />75461 <br />Tefephone 903-491-9240 <br />(903) 123-4567* <br />Areas of Interest' <br />[ ] airport Advisory Boara <br />[X] Build'rng & Standards <br />Comrnission <br />[ ] Civil Service Commission <br />[ ] Economic Development <br />Carporation <br />[ ] Historic Preservation Commission <br />[ J Housing Authority Board of <br />Commissianers <br />[ J Street Advisory Board <br />Currently serve on this board. <br />[ J Municipal Band Commission <br />( J Parisltamar Counly Board of <br />Health <br />[ ] Pfanning & Zoning Commissinn <br />[ ] Publfc Library Advisory Board <br />( j Traffic Commission <br />[ ] Zoning Board uf Adjustment <br />Please note any speeial knowledge, edLCation, or <br />experience you have that is applicable to the function <br />of the board, commission, ar committee of interest <br />(attach additivnal pages if necessary). If applicable, <br />list dates of service on any City boards, commissions, <br />or committees. <br />Certification and Authorization <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the faws of the State of Texas regarciing <br />nepotism and conflicts of interest of appointees to City boards, commissions, and comrruttees. I atsa certify that if appointed ! wiil <br />attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the Cify during my term. I <br />understand that the number of positions on a gfven board, commission, or committee is limited and that 1 may not be appointed; <br />however, if I am not appointed, I agree to be ptaeed in a database for posstbte future notification of topics of interest. t certity that the <br />information given by me in this application is true and correct and any talse information or misrepresentation is sufficient grounds for <br />disqualification. I authorize the City of Paris to verify all information provided In this application. fn aecordance with Sect'ron 552 of the <br />Local Govemment Code, I understand that information provided in this application may be available to the public upon request.' <br />[XJ Agree <br />' +ndicates required fields. <br />Disagree <br />The following fornl was submitted via your website: Application for Boards / Committee / Commission <br />7 P. <br />