Laserfiche WebLink
Janice Ellis <br />From: support@civicplus.com <br />Sent: Wednesday, May 11, 2011 7:14 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 Patis Gt~ CounciI IS kktg C~ inditiCluaks wft aM . <br />stand~g . t~t n~ ~ aM ~s. ~ ~t ~ ~ ~ E:~t ~ <br />cor~secuUv+a,~# r~'► ~ , ~ t#~ <br />_ _ . _ . . ~ s _ <br />yv.~.............,...,......~. . <br />First Name <br />_ . <br />Fi;andy Last~ Ftooct <br />~ <br />Address* <br />City* <br />4025 Smndyrr PI <br />Fatis 9tat+a* "tX zr 75M <br />- <br />(X) 75462 <br />TWfi <br />Telephane <br />903-517-6661 <br />(903)123-4587", <br />(l Aurport Athtiaory Bvard <br />~ J Murildpai Eand Cmmts6tm <br />Areas of tntoest" <br />I ] Btkft ~ Standarcs Commissian <br />{ ] PwWLww Ca~ ~ <br />{ j Cid ServicB ConvtissiOri <br />Ercu~ornic Qev~itrprnent <br />N 1~#Hoob <br />~tir►~} & ~ft Ct~nmi5eittn <br />CorpQration <br />f I Pubk LEtrwy rY ga,arf <br />HMacic Pr ation C+rtmrnissfan <br />C l T c CartmlwsKon <br />[ ? Zoning Boarf tYE Adjustmet►t <br />Nfwain3 Au#vx* Boord of <br />Ctxrurnissivners <br />[ ) sfreet Advisory Boaro <br />Please nate any specia# knwvAedge, aducation, ar <br />I have been a busimw awnet for the post tvventy years, attd haue been <br />experience ytou have that is applicable to ft turtctitxi <br />invatved in developing nastaura~n.'~s acrn&s five stabss. C used ta ke part of the <br />of the board, cxommissian, or c:ornmlttee of interest <br />awnership o# Grandy's in Paris, and have Nved in Paris fbr fwenty years. <br />(attach addManal pages if necessary). If applicable, <br />list dates of 8ervice on sny City baards, <br />commissions, or cornmittees. <br />Certification and Authorization <br />I acknowledge that # am aware and agree to the prohibitiarrs a# the CCi#yy of Paris Gtarter and th+e laws of the State of Texas regarding <br />nepotism artid conflicts of irsterest of appointees to-Cifp baards, commissbns, wci comrni#Eees, f also certit'yy that if appointect I vHl <br />attend at least 75 percerrk of a11 regular meettr►gs and shatl not have any delinquent indebtedness ta the Ci#y dur'rng my term, 1 <br />understand Ehat the nurrtber of positicros on a given bQard, commission, ar camrniitea is Eitnited arad that I may not be appcaintecf; <br />however, if L am not appoirrted, I agree to be plaeed in a database fiar passibte future notifica#ion of topics of interest. 1 c.+ertifjt that #tte <br />information girerr by me in thEs application is true and cc7rreGt and any false infiorrnatican or misrepresertation is suftiden# grounds far <br />disqualification. 1 autt►orize the City of Reris to verify atl infbrtnaticm provicied in this apalicaflon. In accardance wrth Sectltan 552 4# the <br />Local Govemment Code, ( understand thaf informatian providad in this applieaUan may be availabfe to the public upcrn request." <br />[X] Agree <br />* indicates required fields. <br />Cl Disagree <br />The following form was submitted via your website: Application for Boards / Committee / Commission <br />L~ 206 <br />