14-Main Street Board Appointment

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f From: noreply @civicpIus.com Sent: Tuesday, February 09, 2016 11:26 AM 12-.. n L-W F 1 ila,L 1 Iu j To: Janice Ellis; dtaylor @paristexas.gov Subject: Online Form Submittal: Application for Boards / Committee / Commission If you are having problems viewing this HTML email, click to view a Text version. Application for Boards / Committee / Commission The Paris City Council is seeking committed individuals who are dedicated to the well -being of the Paris community to serve on its standing boards, commissions, and committees. In general, it is the City 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 certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below. First Name Jess Last Kammer Name Address 2485 Kessler Drive City Paris State TX Zip (X) 75460 O 7546 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. [X] Agree " indicates required fields. [ ] Disagree View any uploaded files by signing in and then proceeding to the link below: http:// www. paristcxas .gov /Admin/FonnHistory. aspx ? SID= 147 The following form was submitted via your website: Application for Boards / Committee / Commission O 75461 Telephone (512) 627 -7895 *' UPW (903) 123 -4567 [ ] Airport Advisory Board [ ] Municipal Band Commission Areas of Interest [ ] Building & Standards Commission [ ] Paris /Lamar County Board of [X] Civil Service Commission Health [X] Paris Economic Development [ ] Planning & Zoning Commission Corp [X] Public Library Advisory Board [ ] Historic Preservation Commission [ ] Traffic Commission [X] Housing Authority Board [ l Zoning Board of Adjustment [X] Main Street Advisory Board Please note any special knowledge, education, or I have worked for Health and Human Services for almost 4 years interviewing experience you have that is applicable to the function community members to determine eligibility for State services. I also recently of the board, commission, or committee of interest started Paris, TX Charity Project with the aim of bringing community members (attach additional pages if necessary). If applicable, list together and helping those in need. I have a Masters degree in Psychology and dates of service on any City boards, commissions, or an ability to synthesize, absorb, and retain information in order to utilize a goal. committees. I have no experience on a committee but I love my community and would like to improve it in any way possible! 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. [X] Agree " indicates required fields. [ ] Disagree View any uploaded files by signing in and then proceeding to the link below: http:// www. paristcxas .gov /Admin/FonnHistory. aspx ? SID= 147 The following form was submitted via your website: Application for Boards / Committee / Commission