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Janice Ellis <br />From: support@civicplus.com <br />Sent: Monday, February 07, 2011 5:00 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 / Cammittee l Commission <br />The Paris Ciry Cauncil is seeking commitEed indivicfuais who are dedicated to the vvetl-being of ths Paris community ta serve on its <br />standing boands, commissians, and committees. In general, i# is the City Councii's polfcy to appoint persons to a ma)drrwm of tuvo <br />consecutive full three-year temrs on a given bocfy. In add'ttion to the general qua deationa tisted in the certificatbn below, other <br />qualifications may be mandated by statute, Citiy Charter, ordfnance, or resofution. Ptease comptete the infortnation requested below. <br />First Name' BriGn Last Bostick <br />Name' <br />Address' 425 South Church <br />City" Paris State" TX Zip' (X) 75460 75462 <br />75461 <br />Telephone <br />(903) 715-1303 <br />(903) 123-4587' <br />Airpo►t Advismy Board Municipal Bartd Commission <br />Areas of Interest" <br />[ j Buikiing & Standards [ ] Paris/Lamac Gounty Boafd af <br />Commi&sion keafth <br />Civii Service CommFSSUan Plannmg & 2aning Commission <br />Economic Development I IPublic Library Advisory Boacd <br />Traffic Commtasion <br />Corporation [ <br />[k] Historic Preservation Commission [ ] Zoning Board of Atijustment <br />[ ] Housing Authority Board of <br />Commissioners <br />[ j Street Advisory Board <br />Please nota any special knmvledge, education, or <br />Bachelor of Environmerrtal Design from Texas A&Ib{ University with a minor in <br />experience yau have that is applieable to the function <br />Art & Rrchitectural History. Main Street Advisary Board member sincF; Aprii <br />of the board, commission, or committee of interest <br />2010.1 arn very involved in daumdown Pwis and $ee amazing potentiat for <br />(attach additional pages if necessary). If applicable, <br />increasing our visibility as a destir►ation tor heritage tourism and weekend <br />list dates of service on any City boards, commissions, <br />stays! 1 am committed to promoting smaN business growth and development in <br />or committees. <br />our historic dietrict while respect+ng ttue context of hiatoric architecture and <br />hope to be able to use my ptofessional abihies fbr the bettemnent of the <br />community! <br />Certification and Authorization <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the {aws of the State of Texas regarding <br />nepotism and conflicts of interest of appointees to City boards, commiseioRs, and committees. I also certify that if appointed I wilt <br />attend at least 75 percent of all regular meetings and shatl not have any dehnquent indebtedness to the City during my term. I <br />understand that the number of positions on a given boarcl, commission, or committee is limited and that 1 may not be appointed; <br />however, if Iam not appointed, 1 agree to be placed in a database for possible future notfication of topics of inEerest. 1 certify that the <br />informatian glven by me in this application is true and correct and any fialse infomtation or misrepreserrtation is sufficient gmunds for <br />disqualification. I authoriae the Citk of Paris to verify atl infom►ation provided in this applicatlon. In accordance with Section 552 of the <br />Local Govemment Code, I understand that irtformaGon pravided in this applicatian may be availabfe to the pubtic upon request." <br />[X] Agree <br />' indicates required fields. <br />[ ] Disagree <br />75 <br />