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Janice Eilis <br />From: support@civicplus.com <br />Sent: Thursday, May 05, 2011 7:57 AM <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 / Comrnission <br />The Paris City Councii is seeking committed individuals who are dedicated to the we8-being of the Paris community to serve on its <br />standing boards, commissions, and committees. In general, it is the City Councii's policy to appoint persons to a maximum of two <br />consecutive fuli three-year tertns on a given body. In addition to the general qualificaticxss listeci in the certifieatian below, other <br />qualifications may be martdated by statute, City Charter, ordinance, or resolution. Please complete the infoRnation requested below. <br />First Name' Biliy Last Copefand <br />Name' <br />Address" 143 CR 36450 <br />City' ArthurCity State' TX Zip" (X) 75480 O 75462 <br />Telephone <br />(903) 123-4587` <br />Areas of Interest' <br />Please note any special knawledge, education, or <br />experience you have that is applicable to the <br />function of the board, commission, or committee of <br />interest (attacFi additional pages if necessary). If <br />applicable, list dates of service on any City boards, <br />commissions, or committees. <br />Certification and Authorization <br />(903)732-3489 <br />75481 <br />[XI Airport Adviaory Board <br />Municipat Band Commission <br />Building & Standards Commission <br />[ 1 ParislLamar County Board of Health <br />[ I Civf! Service Commiss+on <br />I] Planning & Zonittig Commission <br />Economic DevelopmeM <br />pubEic LibraFy Advisory Board <br />Corporation <br />[ ] Traffic Gommission <br />F{istoric Preservation Commission <br />( lZoning Board of Adjustment <br />[ ] Nousing Authority Board of <br />Commissioners <br />[ ] Street Advisary Board <br />Have senred on the board a prior tenn and have experiance on issues. Also <br />attend open meetings training. Note : above zip code needs to be 75411 <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 of appointees to Ciry boards, commissions, and comcMttees. ! also certify that if appointed I will <br />attend at least 75 percent of all regular meetings and shafl not have any delinquent irtdebtedness to the City during my term. I <br />understand that the number of positions on a given board, commission, or commttEee is OmiEed and that I may not be appointed; <br />however, if 1 am nat appointed, I agree to be placed in a database for possibte future notification of topics of interest. I certify Etâ–șat the <br />information given by me in this application is true and correct and any Palse information or misrepâ–șesenfation is sufficient grounds for <br />disqualification. I authorize the City of Paris to verity aN information provided in this appfication. In accordance with &ection 552 of the <br />Locaf Govemment Code, I understand that infortnation 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 />174 <br />