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Janice Eilis <br />From: support@civicplus.com <br />Sent: Tuesday, May 10, 2011 10:51 AM <br />To: Janice Ellis; Denene Taylor <br />Subject: Oniine 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 I Committee / Commission <br />The Paris City Counal is aeeking committed individuals who are dedicated to tf►e welb,heing of #1'►e Pads commuritY tD sere on it5 <br />standing boards, commissions, and commiltees. In general, it is the City Courzstl's pok, y 1o apPaW't PWw~* tO & rr►Oxin°+m aF tvvr <br />consecutive tuR th+ree-}ear tertne on a giuen body. in addition t4 thw ger'►wal qum1'i1kvgms lisled in ft tarillicafibn laelouv, alher <br />quaffieations " be mandaftd by ststute, City Charter, cndimnce, or resoEtftn: P1~ comphft ft l'tiforwvWftn rr0*0816i bstaw- <br />First Name' Ben ~ g* Vaughan <br />Address# 1225 SE 20fh <br />City' Paris State' TX Zip` (X) 78460 ()764,62 <br />4 f 75461 - <br />Telephone <br />(903)123-+1567* <br />Areas of IMerest' <br />Please note any speclai knowted9e, education, or <br />experienee you hv+e that is appicabie to fhe function <br />of the boapd, cainrnis9irna, or camrnittee of trteress# <br />(attach ad'cltionat pages ii necessarY). hf appticabte, <br />list dates et service an any City boards, commiss'wns, <br />or commiRees. <br />Certification and Authorization <br />(903) 785-2759 <br />I 1 airport Adv" Boa'd t l mmldpat ftn~ ~ im <br />[ l Buikfi'►g & 8tsndards [ ] ~ ~aer Co~ty Baa~4 of <br />Comrr►ission <br />[ l C9vit 3eririee COMMiSSio+a I lp*MU8 & Zo~ft ComWaaWn <br />Econar»iE C~evet~ap~'►t [ 1~'u~c f,~"~'~!' ~ 8~1''~ <br />Corporatfian ~ I Tr~!Ic Ccar~ni~► <br />{Xj Hiatoric Premmilom COMisslon [ ) zwft BQwct of Adjt*WmW <br />[ I ~owft AUftft BOW Id <br />Commisat"rs <br />[ ] Street Advisory Board <br />I currentiy serve on the WPC. Home buitctor in Pwis aime 1974 Curre►0yr <br />resfairtg 1 renovatir+g htslar'ic hQmws tut C4wrth St MS €ducatiuna{ <br />Psychotog}r; TRW-ComMe" <br />I acknowiecige that 1 arn awana and agree to the prohlbiCons of #he Cily of Par1s C#aFlbe atid ft 104 Of tFte siote Of 1''~ mpro9 <br />nepotism and conffcts of intersst of appointees to City boards, co►nmissiar+s, SAd commcitees, FOso ce!ti#jf that if apPointed rVA <br />attend at teast 75 percertE of att regular meetings and shalf not have any deibtquent iniftbYechrm to fhe EitY duuin9 ►nY tam• I <br />understand thet the number of positions on a gMen board, cornmission, or commfte is fimEte?d and ttO F may W be aApainted; <br />however, if I am not appointed, I agree to be ptaced in a database br passibte firkue notliftefton of topics of inlereffif. t certtfy that the <br />information given by me in this application is true and correct rand any false intomwgon o► ft*mquesentalion is svWtent Wouads tpr <br />disqua{Yflcaticm. i 8utharae the City of Paria te verify alt inbi►natfion provlded in thha appkasm M amodw" wm 9eic%rt Wl,tf the <br />Local Govemment Code, I und+erstand that information provided in this appt'►catian msY be availabie to the Public uP°n re4uest•; <br />IxI a9ree <br />' indicates required fields. <br />[ l Disagree <br />The following fonn was submitted via your website: Application for Boards / Committee / Commission <br />225 <br />