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The following form was subrnitted via your website: Application for Boards I Committee / Commission <br />First Name: Britin <br />Last Name: Bostick <br />Address: 425 South Chw-ch <br />C.ity_ Paris <br />State: TX <br />Zip. 75460 <br />Telephone <br />(903) 123-4567: (903) 715-1303 <br />Areas of Interest: Historic Preservation Comrnission <br />Piease note any special knowledge, education, or experience you have that is applicable to the funerion of the <br />board, commission, or committee of inierest (attach additional pages if necessary). If applicable, list dates of <br />service on any City boards, commissions, or committees.; Bachelor of Environmental Design from Texas A&M <br />University with a minor in Art & Architectural History. Main Street Advisory Board member since April 2010. <br />I am very in.volved in downtown Paris and see amazing potential for inereasing our visibility as a destinatian for <br />heritage tourism and weekend stays! I am committad to promating small business growth and development in <br />our historic district while respecting the context of historic architecture and hope to be able to use my <br />professional abilities for the bettenment of the community! <br />Gertification and Authorization <br />I acknowledge that I azn aware and agree fo the prohibitions of the City of Paris Charter and the laws of the <br />State of Texas regazding nepotism and canflicts of interest of appointees to City boards, commissions, and <br />comrnittees. I also certify that if appointed I will attend at least 75 percent af all regular meetings and shall not <br />have any delinquent indebtedness to the City during my term. I understand that the number of positions on a <br />given board, commission, or committee is limited and that I may not be appointed; however, if I am not <br />appointed, I agree to be placed in a database for possible fuiure notification of topics of interest.l certify that <br />the information given by me in this application is true and correct and any false information or <br />misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify ail information <br />provided in this application. In accordance with Section SSZ of the Loca1 Government Code, T understand ihat <br />information provided in this application may be available to the public upon request: Agree <br />Additional Information: <br />Form submitted on: 2/7/2011 5:00:24 PM <br />Submitted from lP Address: 67.64.130.1 <br />1., Z- 145 <br />68 <br />