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Janice Ellis <br />From: support@civicplus.com <br />Sent: Monday, February 07, 2011 5:00 PM <br />To: Janice Ellis; Denene Taylor <br />Subject: Online Form Submittal: Application for Boards / Committee I Commission <br />If you are having problems viewing this HTML email, click to view a Text version. <br />App{ication for Boards I Committee / Commission <br />The Paris City Council is seeking committed individuals who are dedicated to the well-being af the Paris community to serve on its <br />standing boards, commissions, and committees. In general, it is the Cityy CounciPs policy to appois►t qersons to a mauirrrum of twa <br />consecutive fW4 three-year tsmts on a given body. In addition to the general qualifications tisteci in the certHicatlon betorivv, other <br />qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. <br />First Name" Britin Last Bostick <br />NFame" <br />Address' 425 South Chufch <br />city, Paris State' TX Zip' (X) 75480 O 75462 <br />( ) 75481 <br />Telephone <br />(903) 715-1303 <br />(903)123-4567' <br />Airport Advisorry Board Municipa{ Band Commission <br />Areas of Interest' <br />Bui#ding & Stanciafds ParislLamar Ccwnty Board of <br />Commission MeaRh <br />Civil Service Commission [ I Piann+ng & Zoning Commission <br />Economic Development [ l Public Library Advisory BoaM <br />Traffic Comm"on <br />Corporatian <br />[X] Historic Rreservation Camrt"sion [ I Zoning Bosrd of Adjustment <br />I l Housing Auihority Board of <br />Commissioners <br />[ ] Street Advisory Board <br />Please note any specia{ knowiedge, education, or <br />i <br />f <br />Bachelor o# Environmerrtal Design from Tsr.as A&M Urtiversity wtth a minar in <br />Ma{n Street Advisory Board member sinCe Aptfl <br />t & Archifectural klistory <br />A <br />on <br />unct <br />experience you have tt►a# is appiicabie to the <br />or committee of interest <br />commission <br />of the board <br />. <br />r <br />2010. I am very involved in downtown Paris and see ama2ing potential far <br />, <br />, <br />(attach addittonal pages if necessary). If applicable, <br />list dates of 5ervice on any City boards, commissions, <br />increasing our visibNity as a destnation tbr heritage tourism and weekend <br />stays! 1 am committed 4o pramoting amall business growth and development in <br />or committees. <br />our historic district while respecting the context of historic architecture and <br />hope to be abte t4 use my profaasional abllMes for the betterment of the <br />community! <br />Certification and Authoriaation <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 Tex,as regaMing <br />nepotism and conflicts of interest of appointees to City boards, commissbns, and cammittees. l also certity that if appointed { vvilt <br />attend at least 75 perceM of ali regular meetings and shaN not have any delinqusni indebtednes$ to the City during my tenn. I <br />understand that the number of pasitions on a given board, commission, or committee is i'Emited and that I may no# be sppointed; <br />however, if i am not appointed, I agree to be placed in a database for posstble tuture notif"tian af topics of interest. I certlfy that the <br />information glven by me in this application is true and correct and any false information or misrepnesentation is sufficient grounds for <br />disqualification. 1 authoriae the Gity o€ Paris to verify all information provkied in this applicatlan. !n accordance with Stection 552 of the <br />Local Govemment Cods, I understand that 'rnforrnation provided in this appiicabon rray te avaitabie to tlhe public upon reqaest." <br />[X] Agree <br />' indicates required fields. <br />[ ] Disagree <br />_ _ 165 <br />