Laserfiche WebLink
Janice Ellis <br />From: support@civicplus.com <br />Sent: Wednesday, May 18, 2011 5:57 PM <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 well-being of the Paris community to fierve on its <br />standing boarcts, commissions, and committees. In general, it is the City Council's poticy to appoint persons to a maximum of two <br />consecutive full three-year terms on a given body. In addition to the general quallfications tisted in the certification below, other <br />quatifications may be mandated by statute, City Charter, ordinance, or resoluUon. Please complete the information requested below. <br />First Name' Michael Last Cody <br />Name' <br />Address' 5240 Amherst Gt. <br />City- Paris State' TX Zip' 75460 (X) 75462 <br />( ) 75461 <br />Telephone <br />(903) 123-4567' <br />Areas of Interest" <br />Please note any special knowledge, education, or <br />experience you have that is applicable to the <br />function of the board, commission, or committee of <br />interest (attach additional pages if necessary). If <br />applicable, iist dates of service on any City boards, <br />commissions, or committees. <br />Certification and Authorizatian <br />(318) 787-4002 <br />Alrport Advisory Board [ J Municipal Band Cammission <br />Build'tng &Standards Commission Paris/Lamar County Board of <br />[ ] Civil Service Commission Health <br />Economic Development [ I f'lanning & Zoning Commissian <br />Corporation [X] Public Library Advisory Board <br />[X] Historic Preservation Commission I I Traffic Commission <br />Housing Authority Board of [ I Zoning Board of Adjus#ment <br />Commissioners <br />[X] Street Advisory Board <br />I have lived a year in Paris. I hold a Masters of Arts in Teaching ftom the <br />University of Memphis. I am a former newspaper editw, teacher and public <br />relations advisor. I am a Kiwanis Club of Paris member and have recentty <br />completed a book of short stories (currently unpublished). I wouki wetcame the <br />opportunity to senre my new hometown Paris, Texas. <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 conflicts of interest o# appointees to Ciry boards, commissions, and committees. I alsa certify that if appoinfed I wiN <br />attend at least 75 percent of all regular meetings and shall not have any detinquent indebtedness to the City during my term. I <br />understand that the number of positions on a given board, commission, or committee is limited and that I may not be appoiMed; <br />however, if I am not appointed, l agree to be placed in a database for possible future notification of topics of interest. 1 certify that the <br />infonnation given by me in this apptication is true and comect and any fatse information or misrepresentation is sufficient grounds for <br />disqualification. I authorize the City of Paris to verity alt information provided in this application. ln accordance with Section 552 of the <br />Local Govemment Code, I understand that infoRnation provided in this application may be available to the public upon request.' <br />[X] Agree <br />' indicates required fields <br />[ ] Disagree <br />The following form was submitted via your website: Application for Boards / Committee / Commission <br />172 <br />