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The following fonn was submitted via your website: Application for Boards / Committee / Commission <br />First Name: Britin <br />Last Name: Bostick <br />Address: 425 South Church <br />City: Paris <br />State: TX <br />Zip: 75460 <br />Telephone <br />(903) 123-4567: (903) 715-1303 <br />Areas of Interest: Historic Preservation Commission <br />Please note any special knowledge, education, or experience you have that is applicable to the function of the <br />board, commission, or corrunittee of interest (attach additional pages if necessary). If applicable, list dates of <br />service on any City boards, commissions, or committees.: Bachelor of Environmental Design from Texas A&M <br />University with a minor in Art & Architectural History. Main Street Advisory Board member since April 2010. <br />I am very involved in downtown Paris and see amazing potential for increasing our visibility as a destination for <br />heritage tourism and weekend stays! I am committed to promoting small business growth and development in <br />our historic district while respecting the context of historic architecture and hope to be able to use my <br />professional abilities for the betterment of the community! <br />Certification and Authorization <br />I acknowledge that I am aware and agree to the prohibitions of the City of Paris Charter and the laws of the <br />State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and <br />committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not <br />have any delinquent indebtedness to the City during my term. I understand that the number of positions on a <br />given board, commission, or committee is limited and that I may not be appointed; however, if I am not <br />appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that <br />the information given by me in this application is true and correct and any false information or <br />misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all infonnation <br />provided in this application. In accordanee with Section 552 of the Local Government Code, I understand that <br />information provided in this application may be available to the public upon request.: Agree <br />Additional information: <br />Form submitted on: 2/7/2011 5:00:24 PM <br />Submitted from IP Address: 67.64.130.1 <br />v2~ 45 <br />