Laserfiche WebLink
Janice Eliis <br />From: support@civicplus.com <br />Sent: Friday, May 06, 2011 3:57 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 / Commissian <br />The Paris City Councii is seeking committed individuais who are dedieated to the weN-being of the Paris community to senre on its <br />sEanding boarcis, corrsm'rsstions, and commiftees. In general, it is the Giry Courtcii"s pattcy to appotnt perscros to a maximum of twa <br />conseeutive fcH three-year tertns on a given body. In addition to the gsneral qua4Eflcaftorts listed in the ceMfieatiQn belaw, other <br />qualifications may be mancia#ed by statute, City Charter, ordinanee, aF resatutian. Please complete the information requested belowr. <br />First Name' James Last Brockway <br />Neme' <br />Address' 3350 Robin Rd. <br />City' Paris State' TX Zip* (X) 75460 75462 <br />754$1 <br />Telephone <br />(903)123-4587" <br />Areas of InteresY <br />Please note any special knowledge, education, or <br />experience yau have thet is applicable to the function <br />of the board, commission, or committee of interest <br />(attach additional pages i# neeessary). If applicabte, <br />list dates of service on any Citi boards, <br />commissions, or committees. <br />Certification and Authoriaation <br />903-737-8833 <br />Airport Advisory Board <br />Municipal Band Commission <br />Building 8 Startdards Commission <br />[ l ParisiLamar County Board of <br />[ l Em Service Commission <br />Health <br />[Xj Economic Development <br />Planning & 2oning Commission <br />Corporation <br />I I Pubtic Libtary Advisctty Board <br />[I Historic Preservatfon Commission <br />Traffic Comm+ssion <br />[I Houeing Autt►ority Board o# <br />I l Zoning Board of Ad'}ustment <br />Commissioners <br />( 2 Street Advisory Board <br />I'm currently serving on Main St. Advisory Board and would Ilke to become <br />more involved in our city. <br />1 acknow{edge that I am aware and agree to the prohibitions of the City af Paris Charter ar►d fhe taws of the State of "Fexaa regarding <br />nepotism and confliEts of interest of appointees to Ciry boards, commissions, and comm#lees. l also certify that if appointed I wi41 <br />attend at least 75 percent af aii regular meetings and shall not have any delinquent indebtednesa to the City during my term. i <br />understand that the number of positions on a given board, commission, or committee is limited and that I may not be appainted; <br />howeveF, if i am not appointed, 1 agree to be placed in a database for possible future notiflcation ot topics of interest. 1 certify that the <br />information given by me fi this app{ication is true and correct and any false information or misrepreseRtabon is sufficient grounds for <br />disqualificatior►. i authorize the City of Paris to verify all infortnatian provicfed in this application. In accordance with Section 552 of the <br />Locai Govemment Code, I understand that information provided in this application may be available to the public upon request.* <br />[X] Agree <br />' indir,ates required fields. <br />[ ) Disagree <br />The following form was submitted via your website: Application for Boards / Committee / Commission <br />78 <br />