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Janice Ellis <br />From: support@civicplus.com <br />Sent: Wednesday, May 11, 2011 7:14 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 City Council is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its <br />standing boarcls, commissions, and committees. In generaf, it is the City Counci{'s policy to appoint persons to a maximum of two <br />cortsecutive fuN three-year terms on a given body. In addition to the gsneral qua{iflcations listed in the certtfication below, other <br />qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. <br />First Name` Randy Last Reed <br />Name* <br />Address` 4025 Brandyn PI <br />City' Paris State' TX Zip' O 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 applicabie to the function <br />of the board, commission, or committee of interest <br />(attach additional pages if necessary). If applicable, <br />list dates of service on any City boards, <br />commissions, or committees. <br />Certification and Authorization <br />903-517-6661 <br />Airport Advisory Board Municipal Band Commission <br />[ j Building & Standards Commission Paris/Lamar County Board of <br />[ ] Civil Service Canmission Health <br />Economic Development IXl Planning & Zoning Gommission <br />Corporation Public Library Advisory Board <br />Historic Preservation Commission I] Traffic Commission <br />[ J Housing Authority Board of ~ J Zoning Board of Adjustment <br />Commissioners <br />[ ] Street Advisory Board <br />I have been a business owner for the past twenty years, and have been <br />involved in developing restaurants across five states. I used to be part of the <br />ownership of Grandy's in Paris, and have lived in Paris fnr twenty years. <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regarding <br />nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I atso certify that if appointed 1 wilt <br />attend at least 75 perceM of atl regular meetings and shal{ not have any delinquent indebtedness to tt►e City during my term. I <br />understand that the number of positions on a given board, commission, or committee is limited and that 1 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 comect and any false infortnation or misrepresentation is sufficient grounds for <br />disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Seetion 552 of the <br />Local 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 />[ ] Disagree <br />The following form was submitted via your website: Application for Boards / Committee / Commission <br />114 <br />