17-Resolution appointing members to the various Boards, Commissions and Committees

Home Browse Search

BOARD/COIV1MISSI0N/CQ1VIM1TTEE APPLTC,4'I'ION The Paris City Counci] is seeking committed individuals who are dedicated to the well-being of the Paris community to serve on its standing boards, coinmissions, and committees. In general, it is the Gity Council's policy to appoint persons to a maximum of two consecutive full three-year terms on a given body. In addition to the general qUalifications listed in the cet-tification below, other qualifications inay be niandated by statute, Gity Charter, ordinance, or resolution. Please complete the infonnation requested below and retw-n to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas, 75461. Board/Commission/Committee of Interest ❑ Aiiport Advisory Board ❑ Building & Standards Conlmission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Tnformation Name: c, i_:~ d.rr Address: Q ~o Lv hr E G Work Phone: 3~'-' Home Phone: 4T Fax: ~ E-mail Address: y_~,a + 41 Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or committee of interest (attach additionai pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. K;k lco ~ik_L- C)A- *fB-D q2 E(~-°Ta d Certification and Authorization By signing below, 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 nepotism and conflicts of interest of appointees to City boards, commissions, and cornmittees. I also certify that if appointed I will attend at ]east 75 percent of'all regular meetings and shall not have any delinquent indebtedness to the City dunng my term. I understand that the number of positions on a given board, conunission, or committee is limited and that 1 may not be appointed; however, if I am not appointed, I agree to be placed in a database for possible future notification of topics of interest. I certify that the inforniation given by me in this application is true and correct and any fa]se inforniation or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. ln accordance with Section 552 of the Local Government Code, I understand that infonnation provided in this applicatio,n-niay be avail le to the public upon request. Signature of Candidate: Ivin Date: Conflict of Interest: Y/ N Indebtedness: Y; N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 l 2 3 4 5 6 Citv of Paris Revised 02/19/08 [~C Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Cominission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of A ' ~ I "VR E JUN 13 2011 BY:_.__ ~ 1- 199