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Janice Ellis <br />F <br />rom, support@civicpius.com <br />Sent: Tuesday, May 10, 2011 10:51 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 uvell-being of the paris community to serve on its <br />standing boards, commisslons, and committees. In general, it is the City Couneif's policy to appoirtt persons to a maximum of two <br />consecutive fuh three-year tertns on a given body. In addition to the general quelftations t&,qted in the CertifiCetion bglpw, other <br />qualifrcations may be mandated by statute, City Charter, ordinance, or resolution. Plsase complete the informaton requested below. <br />First Name' Ben Last Vaughan <br />Address ` Name* <br />City' 1225 SE 20th <br />Paris State' TX Zip' (X) 75460 75462 <br />Telephone <br />(903) 123-4587' <br />Areas of Interest' <br />Please note any special kno,,vledge, education, or <br />experience you have thst is appficable to the function <br />of the board, commission, ar committee of interest <br />(attach additional pages if necessary). If appticable, <br />list dates of service on any City boards, commissions,. <br />or committees. <br />Certification and Authorization <br />(903) 785-2759 75461 <br />I J Airport Advisory Board [ J Municipal Band Commission <br />Buitding & Standarcis Paris/Lamar County Board of <br />Commission Health <br />Civil Service Commission Planning & Zoning Commission <br />[ J Economic Development I) PubNc Library Advisory Board <br />Corporation [ j Traffie Commission <br />[Xj Historic Preservatian Commission I I Zonrn9 Boerd of AdjLStment <br />[ ] Housing Authority Board af <br />Commissioners <br />[ ] Street Advisory Board <br />I currently serve on the HPC. Home builder in Paris since 1974 Currently <br />restoring / renovating histaric homes on Church St MS Edueational <br />Psychology; l'AMU-Commerce <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 corrflicts of interest of appointees to City boarcls, commissions, and committees. I also certify that if appointed I wi11 <br />attend at least 75 percent of ali regular meetings and shaQ not have any delinquertt indebtedness to the Ciry during my term. f <br />understand that tMe number of positions on a given board, commission, or committee is limited and that I may not be appointed; <br />howevef, if I am not appointed, I agree to be placed in a database for possible future notiflcation of tbpics of interest. I certify that the <br />information given by me in this application is true and correct and any false information or mlsrepresentation is sufficient grounds for ifica <br />the <br />City Locala'Go etmment CodeZ I unders andthat infonna~tion' pro infoffnation pmvided <br />may be available o the nc ~th Section 552 of the <br />pub ic upon request. i <br />[XJ Agree <br />` andicates reqwred fields. <br />[ j Disagree <br />The following fonn was submitted via your website: Application for Boards / Committee / Commission <br />0 2 <br />