Laserfiche WebLink
Janice Ellis <br />From: support@civicplus.com <br />Sent: Monday, May 02, 2011 4:48 PM <br />To: Janice Ellis; Denene Tayior <br />Subject: Online Form Submittal: Application for Boards I 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 cammitted individuals who are dedicated to the well-be'rng of the Paris community to serve on its <br />standing boa►ds, commissions, and committees. In generai, it is the City Counci!'s poticy to appoint persons to a maximum of two <br />consecutive fukt three-year teRns on a given body. In addition to the gene~rai guelifleatiflns Nsted in the certification below, other <br />qualifications may be mandated by statute, City Charter, ordinance, o~e~aolut[on. Rfease compfete the ininrmation requested befow. <br />First Name" Vicki Last Batlarti <br />Name* <br />Address" 1465 NE 20fh <br />Ciry" Paris Stats° TX Zip' (X) 75460 75462 <br />75461 <br />Telephone <br />(903)1234567* <br />Areas of Interest' <br />903-491-5240 <br />[ ) Airpwt Advisory Basnd <br />[x] Bu'sfdinq & Standards <br />Commission <br />( ] Civil Service Comrttission <br />[ j Econorrric Devefopment <br />CorporaNon <br />( ] Historic Presenrstion Commisssion <br />[ l Housing Autharity Board of <br />Commiss[oners <br />Street Advisory Board <br />CuRently serve on this board. <br />[ } Municipal Band Commission <br />[ j Paris/tamar County Board of <br />Health <br />[ ] Planr►aig & Zonitig ComrMseion <br />[ ] Public Litxary Advisory Board <br />[ j Traffie Comm"ion <br />~ J Zoning Board of Adjustment <br />Please note any special knovvledge, education, or <br />experience you have that is applicable to the function <br />of the board, commission, or committee of interest <br />(attach additional pages if necessary). If applicable, <br />list dates of senrice on any City boards, commissions, <br />or committees. <br />Certification and Authorization <br />I acknowledge that 1 am aware and agree to the prohibitions of the City of Paris Charter and the Isws of the State of Texas regarcling <br />nepotism and conflicts of interest of appointees to City boards, commissions, and committees. I atso certify that if appointed I will <br />attend at least 75 petcent of all regular meetings and shati not have any deiinquent indeht+adness tv the City during my term. I <br />understand that the number of positions on a given board, commission, or committee is limited and thaf t may not be appointed; <br />however, if I am not appointed, t agree to be placed in a database for possibte future notification of topics of interest I certify tha# the <br />information given by me in this application is tnae and correct and any fatse informaYon or misrepresentaUon is sufficient grounds for <br />disqualification. I authorize the City of Paris to veriiy atl infnrmation provided in this application. Irt accorcJance with Section 552 of the <br />Local Government 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 />[ I Disagree <br />The following form was submitted via your website: Application for Boards / Committee / Commission <br />16~ <br />