19-MOTION TO APPOINT MELBA HARRIS TO CIVIL SERVICE COMMISSION

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` indicates required fields. The following form was submitted via your website: Application for Boards / Committee / Commission First Name: Melba Last Name: Harris Address: P.O. Box 1293 City: Paris State: TX Zip: 75461 Telephone (903) 123-4567: (903) 785-0262 Areas of Interest: Civil Service Commission 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 additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees.: I Have worked with Civil Service for the past 7 out of the past 8 years. I Have received a lot of training on Civil Service law. I have a bachelar's degree in Sociology and Psychology. Have worked in and with City government for 15 out of the past 16 years. Certification and Authorization 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 committees. I also certify that if appointed I will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that I 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 information given by me in this application is true and correct and any false information or misrepresentation is sufficient grounds for disqualification. I authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon request.: Agree Additional Information: Form submitted on: 11/21/2011 11:29 AM Submitted from IP Address: 74.196.148.109 112