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Janice Ellis <br />From: support@civicplus.com <br />Sent: Friday, May 13, 2011 11:46 AM <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 />standirtg boards, commissions, and committees. In general, it is the City Council's policy to appoint persons to a maximum of two <br />consecutive fuli three-year terms on a given body. In addition to the general qualifications Hsted in the certification betow, other <br />qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infortna6on requested below. <br />First Name' Jean Last Schweers <br />Name <br />Address* ' <br />5005 Old Clarksvilte Road <br />City' Paris Statex TX ZiP* 75460 (X) 75462 <br />Telephone 75461 <br />(903) 123-4567' (903)737-8409 <br />Areas of Interest" <br />Please note any special knowledge, education, or <br />experience you have that is applicable to the function <br />of the board, commission, or committee ot interest <br />(attach additional pages if necessary). If applicable, <br />list dates of service on any City boards, commissions, <br />or committees. <br />Certification and Authorization <br />Airport Advisory Board [ j Municipal Band Commission <br />Building & Standards Commission [ l Paris/Lamar County Board of <br />( J Civil Service Commission Health <br />Economic Development ( l Planning & Zoning Commission <br />Corporation Public Library Advisory Board <br />Historic Preservation Commission IX] Traffic Commission <br />Housing Authority Board of [ l Zoning Board of Adjustment <br />Commissioners <br />[ j Street Advisory Board <br />I studied Civil Engineering for three years before completing a Bachelor of <br />Science degree in Psychology. For fun, I am currendy taking classes at PJC <br />with my last high school-aged homeschooled daughter and am re,ady to <br />become invotved in improving the city of Paris. <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of ihe State of Texas regarding <br />nepotism and conflicts of interest of appointees to City boarcis, commissions, and committees. I also certiry that if appointed 1 will <br />attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness 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 t 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 City 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 upon request.' <br />[X] Agree <br />indicates required fields. <br />The following form was submitted via your website <br />[ ) Disagree <br />Application for Boards / Committee / Commission <br />IP3 <br />