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Janice Ellis <br />From: support@civicplus.com <br />Sent: Thursday, May 12, 2011 12:28 PM <br />To: Janice Ellis; Denene Taylor <br />Subject: Oniine Form Submittal: Application for Boards / Committee / Commission <br />If you are having problems viewing this HTML email, click to view a Text verslon. <br />Application for Boards / Committee ! Commission <br />The Paris <br />t~UGllFi4GUll1F~~zwj i~ r~~rwa.~v. r~. w.M.......,.r <br />Ftf'$t NBfYFB* Wm&Cdt t.$st Sanows <br />(8t0) NafW <br />Address" 3775 ~SOO BOW ; <br />City"` Paris StO#e" 7X Zip" 7 (X), 76462 <br />()?5461 <br />Telephone 9f}3-517-6592 <br />(903)1234667" <br />Airport kdrrisory Boar3 E I Mwnicipal Bond Commkolon <br />Areas af In#erest" E] Butllci€ng & Stancardss CaMtWBion E~ ~o" CvAunty E~var~d ~ <br />L] Civii Setv~ Commissi€~n ~ Rlannir+g & Zonft Convn"w <br />[XI Ecanomic C}evelaprent pt~blic Libr~y R"sary B~f <br />Cor~ratir~ mra~t <br />[ l Hisfioric Pr~v~mrn ea~n~i~n pq TraMe Ccr f] ZcWrhg E3r,wd of ACilustm+ent: <br />[ } Housft Authority, Baat+d of <br />Camrrtis4i[smts <br />I I strW Advisory Buard <br />Please nate any speciat knowledge, educatian. eu { have a E~BS degree in tnctusk~! M~ag~ecneri# from 'fe~as T~ch<Univ~arsi#y. I <br />experience you have Ehat is applicable to the fimctiort haci a 42 year career vtkh COnpkiell ScUP CcxrtPany, tnekWkV assi9merrts in <br />of the board, cQrnmissinn, or committee o# intsrest production planning. lndustrfa1 Enginmft and Safe#y, HeaM anct SecUty <br />(attach additionai pagas if necessery). If aPPk-SUe, QirOctOr. f havs been an C)t"~At trairer an# Iead the Pars Pkwi to the Ivwmt <br />list dates of service on any City boards, injury rates and best SafBty moords in the cwipanY. The pFant als+a rsceived thE <br />commissions, ar committees. Texas Satefiy Award far #he best safefyr Progranu in the S#ate fcar 4 straight <br />yeats. t was on the plant 18 'p team vv#tich mpoft#+ dit'actly ta the P18nf <br />Vice President. I am eiow retlfed, l am actixiry w#th the Chafter of Ccrmmerce <br />ambassaddrs, the Qp#im[st Ckib, and Bbsoom Church of Christ.l houe ft <br />time, energy, and desire to som the cammunlty and would appr'eciate the <br />corisiderabon to senre on one of the Gityr boards, cxytnmiWorts, ar commiftees. <br />Regards, Bilt Sandefs <br />Certification and Authorization <br />I acknowledge that t am aware and agree to the prohibitions of the City of Paris Charter and ft taws af the Skarte of Texas reprding <br />nepotism and canflicts af interest of appofntees to City boards, commissions, and committees. t aiso certil5r that if appc7inted ! wiil <br />attend at least 75 percent of ail regular rneetings and shafl nat have any deiirrquent inciebtedness to the CdY durin'J mY ternt. f <br />understand that fhe Rumher of posibcrns on a given board, conmission, or cammittee is ttmited and ttat f may not te appainiett; <br />however, if 1 am no# appainted, t agree to be placed in a database for possible future rWicatior► Qf topics of irtterest, t certify t1hat the <br />information given by me in this appiicarion is true and cornect and any fafse irifQnnatisn or misrepressenfation is su1'Ocient grourxloa for <br />disqualific.aticrn. I authorize Nte Cityr a# Paris to verity alf irtformativn provided in tY►is application, tn aecordance anth Sectivn 552`Qf the <br />Local Goverrtment Gode, t understand that infarrnatian providecf in this apptication rtiay be avaifable to tt►e pubiic upon request.' <br />[X] Agree, [ j D'rsagree <br />* indicates required fields. <br />- - 213 <br />