Laserfiche WebLink
Janice Ellis <br />From: support@civicplus.com <br />Sent: Wednesday, May 18, 2011 5:57 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 I Commission <br />The Paris City Council is seeking committed individuals who are dedicated to the welf-being of the Paris community to serve on its <br />standing boards, commissions, and committess. In genera4, it is the City Council's policy to appoint persons to a maximum o# two <br />consecutive full three-year terms on a given body. In addition to the generaF qualifications tisted in the certtfication below, other <br />qua{ifications may be mandated by sta#ute, Ciry Charter, ordinanee, or resotution. Please complete the information requested betow. <br />First Name' Michael Last Cody <br />Name' <br />Address" 5240 Amherst Ct. <br />Ciry' Paris State* TX Zip` 75460 (X) 75462 <br />( } 75461 <br />Telephone <br />(903) 123-4567' <br />Areas of Interest" <br />Please note any special knowledge, education, or <br />experience you have that is appficable to the <br />function of the board, commission, or committee of <br />interest (attach additional pages if necessary). If <br />applicable, list dates of service on any City boards, <br />commissions, or committees. <br />Certification and Authorization <br />(318) 787-4002 <br />Airport Advisory Boatd Municipal Band Commission <br />[ j Building & Standards Commission ( l Paris/Lamar County Board of <br />[ ] Civil Service Commission Health <br />Economic Development Planning & Zoning Commissiort <br />Corporatlon [X] Public Librery Advisory Boarci <br />[X] Historic Preservation Commiss(on Traffic Commission <br />kousing Authority Board of Zpning Board of Adjustment <br />Commissioners <br />[X] Street Advisory Board <br />I have lived a year in Paris. I hold a Masters of Arts in Teaching from the <br />University of Memphis. I am a former rrewspaper editor, teacheF and public <br />relations advisor. I am a Kiwanis Club of Paris member and have recenUy <br />cornpleted a book of short stoMes (currently unpublished). I woutd welcomc the <br />opportuniry to serve my new hometown Paris, Texas. <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the Stafie of Texas regarding <br />nepotism and conflicts of interest of appointees to Ciry boards, commissions, and committees. 1 also certiiy that if appointed I wiH <br />attend at least 75 percent of all regular meetings and shatt not have any definquent indebtedness to the City during my term. 1 <br />understand that the number of positions on a given board, commission, or committee is limited and tha# I may not be appointed; <br />however, if I am not appointed, I 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. I authorize the Ciry of Paris to verify all information provided in this application. In accordance with Section 552 of the <br />Local Govemment Code, I understand that information provided in this application may be available to the public uport request.' <br />[X) Agree <br />" indicates required fields. <br />[ j Disagree <br />The following form was submitted via your website: Application for Boards / Committee / Commission <br />i <br />82 <br />