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16-Deliberate and act on a Resolution appointing members to various boards, commissions, and committeesCITY COUNCIL AGENDA ITEM BRIEFING SHEET Submittal Date: Originating Department: Presented By: Agenda Item No.: 06/18/10 Council Date: City Council Kevin Carruth 16. 06/28/10 RECOMMENDED MOTION: Move to appoint vacant positions on City Boards and Commissions. POLICY ISSUE(S): City boards and commissions BACKGROUND: On July 14, 2008, by Resolution No. 2008-053 City Council adopted policies and procedure for standing boards, commissions, and committees. There are numerous appointees whose terms expired April 30, 2009. The open appointment process was advertised extensively on four radio stations, TV99, and The Paris News. In addition, Council Members and staff have also promoted committee openings to the public. At the Council meeting of April 12, 2410, Council elected to wait until the new City Council was seated prior to making appointments. BOARD/COMMISSION RECOMMENDATION: EXHIBITS: Resolution and applications ACTION: BUDGET INFO: ❑ Financial Report ❑ Minute Order Expense ❑ Department Report ~ Resolution Budgeted Amt. ❑ Presentation ❑ Ordinance ❑ P bli H i ❑ O h y'I'D Actual u c ear ng t er Acct. Name Acct. Number FISCAL NOTES: REVIEWED AND APPROVED BY: ~ Administration E City Clerk ❑ Community Development ❑ EMS/IT ❑ Eng. E] Finance ❑ Fire ❑ Municipal Coutt Z Legal ❑ Libtary ❑ Police ❑ Public Works ❑ Urilities City of Paris Revised 2/04/08 I A1'~! DRAFT attorney\reswork\current\Appointments to Boards & Commissions 2010 RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS, APPOINTING MEMBERS TO VARIOUS CITY OF PARIS BOARDS AND COMMISSIONS, IN ACCORDANCE WITH POLICIES AND PROCEDURES FOR STANDING BOARDS, COMMISSIONS A1VD COMMITTEES; MAKING OTHER FINDINGS AND PROVISIONS RELATED TO THE SUBJECT; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, on February 11, 2008 the City Council approved new Policies and Procedures for Standing Boards, Commissions and Committees for the City of Paris; and, WHEREAS, in accordance with the policies and procedures these standing boards and commissions will be composed of seven members and will serve three year terms; and, WHEREAS, the committees shall include one Council Member liaison appointed as ex-officio member and shall include one or more City staff liaisons appointed as ex-officio members with the Mayor and City Manager serving as ex-officio members to each committee; and, WHEREAS, appointments will be made at the second Council Meeting in June of each year with all terms beginning on uJ ly 1 and ending on une 30 of each year; and, WHEREAS, the Boards and Commissions with members' terms expired on April 30, 2010 are as follows: Airport Advisory Board Band Commission: Bill Boothe & Glen Chapman Band Commission: Patsy Daniels (At-large) & Stephen L. Gerrald Building & Standards Commission: Ryan Lassiter & Zach Saffle Historic Preservation Commission: Matthew Coyle (Main Street) & Paul Denney (Architect) Library Advisory Board: Deborah Hatley & Hilda Mallory Main Street Advisory Board: Marvin Gorley & Matthew Coyle Paris Economic Development Corporation Board: John Wright Planning & Zoning Commission: Richard Hunt & Darin Manning Traffic Commission: Bee Garmon, George Kimbrough & Jon McFadden WHEREAS, it is deemed appropriate that board and commission members be appointed and/or reappointed at this time to serve the terms beginning July 1, 2010 to June 30, 2013. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUIVCIL OF THE CITY OF PARIS, TEXAS: Section 1. That the findings set out in the preamble to this resolution are hereby in all things approved. Section 2. That the following appointments are hereby made to the Airport Advisory Board: , and to serve three-year terms from July 1, 2010 to June 30, 2013. Section 3. That the following appointments Commission: (at-large), and three -year terms from July 1, 2010 to June 30, 2013. Section 4. That the following appointments are hereby made to the Building and Standards Commission: , and as regular members to serve three-year terms from July 1, 2010 to June 30, 2013. Section S. That the following appointments are hereby made to the Historic Preservation Commission: (Main Street) and (Architect) as regular members to serve three-year terms from July 1, 2010 to June 30, 2013. Section 6. That the following appointments are hereby made to the Library Advisory Board: and as regular members to serve three-year terms from July 1, 2010 to June 30, 2013. Section 7. That the following appointments are hereby made to the Main Street Advisory Board: and (HPC) regular members to serve three-year terms from July 1, 2010 to June 30, 2013. Section 8. That the following appointment is hereby made to the Paris Economic Development Corporation Board: as a members to serve a three-year term from July 1, 2010 to April 30, 2013. Section 9. Commission: terms from July 1, 2010 to June 30, 2013. Section 10. That the following appointments are hereby made to the Traffic Commission: and as regular members to serve three-year terms from July 1, 2010 to June 30, 2013. Section 11. That this resolution shall be effective from and after its date of passage. PASSED AND ADOPTED this 28t" day of June, 2010. Will Biard, Mayor That the following appointments are hereby made to the Planning & Zoning and as regular members to serve three-year are hereby made to the Band as members to serve . i`~t~ ATTEST: Janice Ellis, City Clerk APPROVED AS TO FORM: W. Kent McIlyar, City Attorney _ 15 0 IL 5' ,1=1-~\ T'~ W a 0 0 . ~ ~fD (D ~ 7 . OI ~ _ C D . . . ~ p < . . ..N ~3 ~.C ~.N . . . . N ~ ~ O ~ m oi ~ O . . . -3 to 3D D N Ck. OO ~ 0 C 01 vai 7 vi 7 a o v ~ ~ ,<'o F; d' v . N 7' y1 D ry'c ~ Ip p °7o $q =r a w a~ m c o' 3 o Q I= to . ~ 7C ~ ~ • _ N ID eD I ~ ~ M n O m ,.t . ~ 7 ~s O.~.y d.~07 W.. . m Up N j• ~ . fD . 3 (p Gr ~~.0 ON C O . C1 n v+ . N ~ ONl 0 F ~ C ' A N N . . . . . W . 0 n m ~ Q 3 'M 3 oj ' '>a v p c :5 ~ D g I ~ w a 'W . a~ ~o r~tio 3~ ' o0i oi ~ m D~,.O. . ~ N ~ ~ 7 0 ~ ~ .0 . . . N . ~ ~ . ~ d . . . ' ~ :0 ~ W A Q W ' 7 p_ ~ r V1 „~•r ' f'f . p_ . fD 7 = C ~3p jry N- N. p d'.. c?i o+ to (p y C N 3 . ~ 0 f~D ~ 7 p '.00 . . ~.2 . .O. W m O Q Q 7 O 7 . ' .0 m_ ~ A'G1 ~Q] . X . N I m p ~ ~ ~ . V1 ~ S 3• ~ ~ . ~ Vf n fp fp . - . ~ fl' r~ n o n mI3 c ~ m ~ N 7 . Go r~o 7ID fD am <Iv',N c I~ d ~ o m BoARD/CoMrniss[oN/CoMMiTTEE APrLICATioN The Yaris 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 qualitications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Municipal Band Commission ❑ Building & Standards Commission ❑ Paris/Lamar County Board of Health ❑ Civil Service Commission ❑ Planning & Zoning Commission x Economic Development Corporation ❑ Public Library Advisory Board ❑ Historic Preservation Commission ❑ Traffic Commission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustment ❑ Main Street Advisory Board Candidate Information Work Phone: HU .12 Home Phone: q Fax:~3 E-mail Address:Mervn 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. . -Ni- n%,V-1 ,J_ r ;~.:~~JZ~ o& e-- Certification and Authorization By signing below, 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 shail 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 1 may not be appointed; however, if I am not appointed, f 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 suf cient grounds for disqualification. I authonze the City of Pans to verify all information provided in this applicatio . acc rdance wit ection 552 of the Local Government Code, I understand that information provided in th pplica ay be av o the public upon request. Signature of Candidate. Date: For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 15w March 29, 2010 RE: Application for City Boards and/or Committees I have attached an application and a copy of my resume. Please feel free to utilize me in any capacity you think appropriate. If you have no vacancies on the board I have checked, or you think my experience might be more compatible in another slot, feel free to change my selection. Thank you. f , Bonnie J. AusbuM 3045 Briarwood ` _ Paris, Texas 75460 903 517.8249 ~ ~ -a(A ~ 1 ~J BOARD/COMMISSION/COMMITTEE APPLICATION 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 and retum to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ B~'rYding & Standards Commission Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustm nt .p-c9o►a owI0(6.004~~ Candidate Information 1! ~a 11~ a Y) Name: l "-.1'. r Address: 6 ~ ~ R i S 1 e- ~rcu S ~ ~ y ~ a Work Phone: e_.~- i r e_r~ Home Phone: 9 0 3 S/ 7 2.2 ycf Fax: _qp 3 7 8`-( -6L 3 y E-mail Address: r t a- lo o r~ 5 ud cb P,,.11 4_~ 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. ~ O r,\ 0~ te- ✓1'\ e Y b zkr \ E/` C-e-- t,.,) i l ~ G 0 U (2 (✓i /ln p n I n~ ri n oF o dl . S T` r~~~, ~ /'v1 M U,'l t t L /1 c 62- C 4 T q By signing below, 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 av2Aable to the public upon request. Signature of Candidate.~---J2-,3i-~yrr,,._~ /l/&,ti[--f,-u~ Date: Conflict of Interest: Y/ N Indebtednessc Y/ N Nepatism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 15 I,eCL1llC'stL10Il aI1Q AllLIlOT1Zai1011 Bonnie J. Ausburn 3045 Briarwood Paris, Texas 75460 903 517.8249 rip-bon@suddenlink.net EXPERIENCE HIGHLIGHTS 1994 to 1-1-07 Executive Director, Lamar County Coalition of Education, Business and Industry, Paris, Texas Facilitated communication and program development between the five school districts in Lamar County, the business community and Paris Junior College. Developed and wrote the regional School-to-Work Grant from the Department of Labor and the Criminal Justice Division's Drug Free Schools and Communities Grant. Administered the day to day operation of the Coalition office. Effectively communicated the Coalition's mission, vision, successes and needs to the community. Developed agenda for board meetings and submitted monthly reports to the Board of Directors. Built community support for the Coalition through personal contacts with business and industry leaders and through active participation with the county's educational institutions. Sought funding through grants and foundations to supplement existing resources to provide a basis for the continuation of the program. Presented to various groups in the community, prepared press releases and worked with the media to publicize the Coalition. Maintained active relationships with various regional, state and national associations. Researched and recommended new ideas, programs and methodologies for reaching program goals. Organization received USA TODAY'S National Community Solutions for Education Award in 1995. Also, developed and wrote the grant for $1.2 million dollar Title V-Abstinence Education Grant from the Texas Department of Health. Director for Project SAVE (Sexual AbstinenceNalues Education) a program of the Lamar County Coalition of Education, Business and Industry. Responsible for development, implementation and coordination of program components, financial management of grant and compliance with Texas Department of Health regulations and procedures. Additionally responsible for contract negotiations, record keeping, supervision of staff and program activities; ensuring that program goals and objectives were met within prescribed timelines. Overall management of TDH contract. 1992 -1994 Executive Director, American Red Cross, Lamar County Chapter Developed and directed all Red Cross programs for Lamar County. Coordinated Health and Safety Courses, including CPR, Standard First Aid, Water Safety and Lifeguarding. Recruited, trained, and scheduled volunteers. Prepared presentation, narrative and budget, for United Way. Developed system for providing services to military families on the local level. Initiated planning for Disaster Preparedness training. Did public presentations of program to civic, service, educational and business groups. Served as a board member and board chairman subsequent to leaving ED position. Wrote numerous grants, both governmental and foundational to expand funding base and scope of programs 1985 to 1992 - District Supervisor/Regional Operations Coordinator, for the Alamo Area Council of Governments Job Training Partnership Program. San Antonio, Texas Developed and implemented Title II, Title III, Title IIB and IIC JTPA programs for a four-county area. Participated in grant development and applications for Department of Labor funding. r 5 ~ ) Provided supervision, training and scheduling for eight permanent employees and three part-time employees. Responsible for hiring, firing, evaluation and all program development. Additionally, administered $820,000.00 regional operations budget. Worked closely with private sector employers as well as county officials, city officials and Chambers of Commerce and school districts to supply a well-trained workforce. Made numerous program presentations to social and civic clubs, as well as, city council meetings, commissioner's court, and school board meetings. Developed jobs in the community, counseled participants in areas of interview techniques, resume preparation, employer contacts, and general information related to the process of getting and keeping a job. Additionally, provided assessment services to clients and employers, including administration of the General Aptitude Test Battery, the TABE, WRAT, ABLE, APTICOM and Jackson Occupational Inventory Tests. Certified by the Texas Employment Commission to administer the GATB test. Negotiated, authorized and implemented On-The-Job Training Contracts with private sector employers, including the development of individualized training schedules, job descriptions, and cost analysis for each position. Responsible for all marketing and advertising of the agency and its services. EDUCATION Lubbock Christian College: 1964-1966-AA University of Hawaii: 1965-1967 MAJOR: English MINOR: Psychology, Journalism Vocational Training: Queen's Hospital, Honolulu, Hawaii-Physician's Assistant Training Southwestern Business College, Houston, Executive Assistant/Secretarial, Bookkeeping MISCELLANEOUS TRAINING AND COURSES •"Proposal Writing", Funding Information Center, San Antonio, Texas, 1987 • Numerous state, regional, and national JTPA Conferences, seminars and up-date sessions sponsored by the Texas Department of Commerce, Texas Department of Community Affairs, Department of Labor and Department of Education. Topics included not only, JTPA/Employment and Training information, but EEO, ADA, staff development and assessment, and many related issues. Pacific Institute Training Seminar-1991 • Governor's Center for Management Development, Graduated-April, 1991 AFFILIATIONS • Leadership Lamar County, 1993, Leadership Board Member, '95-98 • Board of Directors- American Red Cross, Lamar County Chairman, 1992-94 • American Red Cross, Field Service Chairman, Territory II, State of Texas, 1994 • Paris Area Arts Alliance Board • Site-Based Decision Making Advisory Committee. Region VIII Education Service Center • Board of Directors, Junior Achievement of Lamar County • Northeast Texas Quality Workforce Planning Committee • Team Leader-Paris Area Resources Collaborative Telecommunication Infrastructure Planning Grant Application • Northeast Texas Tech/Prep-School-To-Work Executive Committee I 55 Janice Ellis From: support@civicplus.com Sent: Wednesday, April 07, 2010 5:15 PM To: Janice Ellis; Denene Taylor 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 * indicates required fields. ~ 115 The following form was submitted via your website: Application for Boards/Committee/Commission First Name: Britin Last Name: Bostick Address: 425 South Church Street City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: (512) 496-0573 Areas of Interest: Street Advisory Board 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 a Bachelor of Environmental Design with a Minor in Architectural History from Texas A&M University. I have served as both the Color Guard coordinator for the Lone Star Girl Scout Council and the Career Fair Coordinator for the Texas A&M Department of Architecture, so I know a lot about event planning and organization! I volunteered at Movies in the Park last summer (2009) and would like the opportunity to contribute more. 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: 4/7/2010 5:15:16 PM Submitted from IP Address: 74.195.68.34 Form Address: http://www.paristexas.qov/forms.aspx?FID=69 z ~5-S i::aA-1.cw ~:L..~..+...a:,.~ae .''~r' . . ~'..~1 '.i"a, 'c.:. . i.~s. c,~. nr' „ ~ ~ ~~,,='_i-~=ai7- ~.i, , .s ti ~_r~,., . r ➢~>~C , ~ . . ~ ~ _ r,~....~. . . .a ~`.'.,,L : ~ ~~T1's'~ , ,n r .>r. . . . ~ , _ . . . ~ . , ~ . . . . , _ , i _ _ , _ . . _ , , ~ . ° ~ q ? - , ; . : 7 ( ~1s S P. , v3 P7 6 ~ f,. . . _ . `r E'4 ~'S_. ?`/f- Cc) ~4 1) ()A).?_cA~r-e 6rV _Cd 44. 3c CL);Pl ~ ~ _ _ ~ ~,.t ~ ~ ~ ✓ rs ('s tnw . _ ~ . _ , . .1-5-9 BOARD/COMMISSION/COMMITTEE APPLICATION 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 ternls 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ~ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: Address: v~q W . f LFi Z8 Work Phone: '303°757y7(go Home Phone: ~aS °737 453S Fax: '36 L7 37-710 E-mail Address: -D~n'Y i s so~~'C~~-f'fi 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. Certification and Authorization By signing below, 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 1 am not appointed, 1 agree to be placed in a database for possible firture notification of tonics of interest. I certify that the information given by nie in this application is tnie 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 appl ion. In accordance with Section 552 of the Local Government Code, 1 understand that information provided in this appl catio iay be availa he publ ZLlpon request. ~ S ignature of Candidate: /~J/0-v--Z Date: For City Clerk's Use Onlv Conflict of Interest: Y! N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 16,-) BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health Xplanning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: DENN,s CHALAT'R~C Address: 2`7$0 CuLRtVtTSON S f'I EL Work Phone: t3 - 7S~- I45_~ Home Phone: -9 0 3 -78 SL) Fax: 963-M- 1452 E-mail Address: (n, lIt'i hL e CS - iNC, n 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. ~ se1~'~,e.~,~1 as Vtc~-c)nc+%:~^v-c,v~ Q~ -V-11e se Ln~C~ S'+uu.u ncv~~~~°N-erz s.l- a" , R!j<;i3-~2iuk Pd'a" iOc J 1.-W4 5uw-trt-'~6r~ Se T kon, . w~.~ i`S ✓`Q.4,11 , Ice]~u S+CoGt loAw _ia LL s he,WWA, nn vx a,l As e 1~ PaW4 rn IA wV-,v'c a s o ,l `rmt vk~ y ~ 4~^ a,,~ wx &cuid 6u 4a CJu . S c, 1 el. X-; I Certification and Authorization sPtoCts s cvr"ck fNqti. i rvt wW,4s , By signing below, I acknowledge that [ am aware and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regazding 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. I❑ accordance with Section 552 of the Local Government Code, I understand that information provided in this a~cation may be available to the public upon request. Signature ofCandidate: .~v~ Date: 4[412610 For Citv Cierk's Use Onlv ' Confiict of Interest: Y I N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previoas Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 161 BOARD/COMMISSION/COMMITTEE APPLICATION 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 ternzs 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation [Historic Preservation Commission ❑ Housing Authority Board of Commissioners E~rmain Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: Address: ~ ~ 2 S• ve I'~--~ N~~j Work Phone: ( l0 72> ~~4 Home Phone:~~--~ 2.► ~ ~ ~ ~2. Fax: ` E-mail Address: Please note any special knowledge, education, or experience you have that is applicab e to the function of tlie board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. GLt, 2 h.r n9'i"L4 SGIZ V 1 tiJ[s bA7 (M ]V Sfi12;CT I N R''' Certification and Authorization By signing below, 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. 1 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. [ certify that the information given by me in this application is tnie and correct and any faise infonnation or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Govemment Code, 1 understand that information provided in this app+icatio/ may be av*ie to/the public upon request. Signature of Candidate: Date: ~/gU/ O For Cit Clerk's Use Onl Conflict of Interest: Y/ N Indeb edness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 ~ 6 ~ BOARD/COMMISSION/COMMITTEE APPLICATION 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 and retum to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation MHistoric Preservarion Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board ❑ Municipal Band Cotnmission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Candidate Information Name: pA U L {C , bE N N F Y Address: 24 3S C LQ R lL LA1J E Work Phone: [,L303~ 78'S -4-3 I A Home Phone: Fax:~~03 E-mail Address: DaLI PG]PA!r1 JZMLt~~1►OC ~'„g` Please note any special irnowledge, 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. ~AfOEfZ oF A(ZeNfTEc.'iuRE DE612Ee - THE utiliu. . OF TE.xAs &I ACUN67o.N -IRE41^-r R S-A eeH UEcZ I1,1 ? LJ v= 'CT~.TG ^t-- "T"G V R-e, 4L-C1'7,?,c ~ PC/ IG'7CG~C (1 1N"j' 100- YJF-5IL NE2 /N INE 5?,4'"'jE oF 'I"EXA,,,S7*754-8 -pQ1da sv6. i!li :1 He`H , P,s . - Certification and Authorization By signing below, I acknowledge that I am awaze and agree to the prohibitions of the City of Paris Charter and the laws of the State of Texas regazding 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 atl 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. 1 certify that the information given by me in this applicaGon 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 Secti.on 552 of the Local Govemment Code, I understand that information provided in this applic tion may be available to the public upon request. Signature of Candidate: Date: 7~O Far Citv Cler "s Use Oniv Conflict of Interest; Y/ N Iadebtedoess: Y/ N Nepotism: Y; N DisL: 12 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/14/08 1V ~ BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First StreebP.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate [nformation Name: 3 ~,KgS ~ ~A t~l 4,1 k Address: (o -ie Zo"k S~-- Work Phonklo2'~ Yss' q?6D Fax: C`k03)7~&'5-- `l°1 ~q Home Phone `tv;3~ lq&" ~ E-mail Address: 9 v ~ ce L ~ -v , <<%-l 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 additiona] pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. ~ A `L4e.k" 4 v1c~(1--1f- ~ ~k 0;r'sa-CPr_-5 ~ " L- .bV._ `~xq~P,~ Certification and Authorization By signing below, [ acknowledge that I am awarc 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. 1 atso 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 thc number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible future notitication 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 s fficient grounds for disqualification. I authorize the City of Paris to vcrify all information provided in this appli ati [n accordance with Section 552 of the Local Govern~ I nt de, [ understand thaC information provided in this applici~ gy be available to the public upon request. Signature ofCandidate: I111WYi Date: Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 ❑ Municipal Band Commission Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment 3~.~'' BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission gPublic Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: D2 6,0 r a~i r-( a-+ (e- y Address: ea n,4e__r' Dr. Work Phone: Home Phone: q O 3 7 g5 'S6 0..3 Fax: q 0 3 'j 't"15-.54 2Y E-mail Address: q c-scLoc ~ SL/ ct d2 h ',i K, /i e f 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. u ry' e,n ry►e r- b e. r-- T~L.- ~ s PL, 6 1, 'c-- L~6 raL r yr A d~/ ~ 5 o r y 1.30o, rcI . Certification and Authorization By signing below, 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. Signature of CandidatDate: ~Z,11 11 o For Citv Clerk's Use Oniv Conflict of Interest: Y/ N lndebtedness: Y/ N Nepotisro: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 1U 5 BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Council is seeking conunitted 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 Counci]'s policy to appoint persons to a maximum of two consecutive full three-year terms on a given i Ube body. In addition to the general qualitications listed in the certification below, other quali~~ mandated by statute, City Charter, ordinance, or resolution. Please complete the informat below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 7546]. ~ ~~pf; Board/Commission/Committee of Interest Q'Airport Advisory Board ❑ Building & Standards Commission Ef-c-i'vil Service Commission ❑ Economic Development Corporation ❑ Historic Preseivation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate lnformation N ame: oel 7V TP ❑ Municipal Band Commission S, ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Cammission ❑ Public Library Advisory Board [g-'P"raffic Commission ❑ Zoning Board of Adjustment Address: S3o~ t0 - E_ 3 3'_~ /'~ri~TeKas -71116,, Work Phone: A-~A Home Phone: ToLM-$S 3s' ee((' ~03--366.923y Fax: E-mail Address: v, ec4 15 S G ci n~P 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 necessaiy). lf applicable, list dates of service on any City boards, commissions, or cominittees. J, ~r.. S e i' ✓ i~ o~ '~"'✓b ~'i C C 9 c+1 i S'S o-~ c L ~ S 2.~ w. ~ C.~ /~e fo rn i!: K.ta , ~ w ~ r' ~ e . ~ . ~ s ei v, z ~ ~'.r.->1 [ o .r r ~ ~ L Y i~ e_z.ri a.,-~ Se°~vr.~ ~ d - Z c ~a.a l ~o 4c_ Y ~sv .f-~, i ~ r+: v. ~ j'r:r✓.2: ~~--Ala~~e s-~l f-4 = e"•`~-- o ~ f~' ? 6"~ r~ ~'i:..+-~a_ - Z 4-✓L 4 ~.9e~f ~ Ac• a N?~. .j' /?J qt G'i.✓~.J~v` i v`/,.C3L- rCiCS6~♦ ~~~f~a,i st+~'y1~s~~' Lee~ .r~BVC....~ l'4e ~~<'-2 GZ! r,L J~>'tN~IL fs~!%~ ~a,: l~i bGCKC /"~Le~Je Certification and Authorization By signing below, 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 Gity boards, commissions, and committees. I also certify that if appointed 1 will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. 1 understand that the number of positions on a given board, commission, or committee is limited and that I may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible future notification of topies of interest. 1 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. 1 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 applicatiotyynay~be available to thepublic upon requesC. Signature of Candidate: Date: G9- el?-- Z~=leoD For Cih Clerk's Use Onl Conflict of Interest: Y; N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris 16P) Revised 08/19/08 BOARD/COMMISSION/COMMITTEE APPLICATION 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 ternis on a given body. In addition to the general qtiialifications listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below aiid return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ~ Main Street Advisory Board ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Candidate Information RECEIVED a~PO CITY MANAGEI2 PARIS. TEXAS Name:MODCil..F. NOD[? Address: 304p O E. NOVSTO N 5T Work Phone: q03 ''rJ 11•(D 8 Z 1 Home Phone: 903' 704 ' 4(p B0 Fax: E-mail Address: "N'lehovas Sbc~Iobal. n~ 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. *TF-R WINCI IN, T~E DA"S/ Fr. WOTN ,4tEA ~ NWL, YS,. MY NU58AND A~JD I R~Tt~iJ~ ~o T~E PAR~S A(~~A To 1► MI . I AVE 3EE44 EXuTED E AltENTION Wal.)Nt PAl AJID - T A -N ag ~v~t~'owrJ ~rt0 P~RIN IN6 A tJs AisIb N14ANU N6 a Certification and Authorization T9l ISE ou~ 0 %w By signing below, I acknowledge that 1 am aware and agree to the prohibitions of the City of Paris Charter and the Iaws of dle 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 dliring my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if ] 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 tnie and coiTect and any false infoiination or misrepresentation is sufficient grounds for disqualification. 1 authorize the City of Paris to verify all information provided in this application. In accordance with Section 552 of the Local Govemment Code, 1 tmderstand that information provided in this appi^tio; may be a~ ~ilable to the public upon request. Signature of Candidate: Date: Conflict of Interest: Y/ N Indebtedness: Y! N Nepotism: Y /N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 1V " BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board . ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information Name: p £nl e A,1, LS Ey Address: t? °r er 9 v lJ iz- Work Phone: Fax: lll a d 1' Home Phone: qo~ ' 7.1 E-mail Address: 41671V le 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. , C 0 r P f~ rA r L~ ~wti p C) 4 C~ /z 5, , "l s A- D ie_~ G ~ ec- " / ~~i I/~ ~ rZ-- l yd al.l 5, 1 /FY(~r'.~ N `l.~s_ Certification and Authorization By signing below, 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 inforniation provided in this appli tion ma be available to the public upon request. ~ ~ Signature of Candidate: Date: / For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness; Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission f~ Zoning Board of Adjustment i6~ BOARD/C0IVIMISSION/COMMITTEE APPLICATION 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 ful] 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 infonnation requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of lnterest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ~ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: Richard Hunt Address: 405 W. Kaufman St. Paris TX. 75460 Work Phone: Fax Home Phone: (903) 784-3514 E-mail Address: Please note any special knowledge, education, or experience you have that is applicable to the function of the board, commission, or colnmittee of interest (attach additional pages if necessary). If applicable, list dates of service on any City boards, commissions, or committees. Currentl s~ erving on the Planning and Zoning Commission Certification and Authorization By signing below, 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 Ciry during my term. 1 understand that the number of positions on a given board, coinmission, or committee is limited and that I may not be appointed; however, if 1 am not appointed, I agree to be placed in a database for possible future notification of topics of interest. 1 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 [his 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. Sigr►ature of Candidate: Date: For Citv C►erk's Use Oniv Conflict of lnterest: Y/ N Indebtedness: Y,' N Nepotism: N' / N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 169 BOARD/COMMISSION/COMMITTEE APPLICAT[ON 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 gualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the infonnation requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of lnterest ❑ Airport Advisory Board ❑ Municipal Band Commission . Building & Standards Commission ❑ Paris/Lamar County Board of Health Civil Service Commission ❑ Planning & Zoning Commission ❑ Economic Development Corporation ❑ Public Library Advisory Board ❑ Historic Preservation Commission ❑ Traffic Coinmission ❑ Housing Authority Board of Commissioners ❑ Zoning Board of Adjustlnent ❑ Main Street Advisory Board Candidate Information Naane: tiA-SS iT2-2 Address: ~ 0 0 u ~qSfC4 Work Phone: 70'3 Home Phone: ?G' S 7 q-62 5 6, Fax: E-mail Address: 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 conunittees. Certification and Authorization By signing below, I acknowledge that I am aware and agree to the prohibitions of tlie City of Paris Charter and the laws of dle State of Texas regardirig nepotism and conflicts of interest of appointees to City boards, commissions, and commitfees. I also certify that if appointed 1 will atYend at least 75 percent of all regular meetings and shall not have any delinquent indebteduess to the City during my terni. I understand thaC the number of positions on a given board, coirunission, or committee is limited and that [ 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. 1 authorize the City of Paris to verify all inforniation provided in this application. ln accordance with Section 552 of tlie Local Government Code, I uuderstand that iuforniation provided in this ap on may be av ilable to the public upon request. Signature of Candidate: ~ Date: L~~ For Citv Clerk's Use Only Conflict of Interest: Y' N Indebtedness: Y% N Nepotism: N' 1, N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 179 BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Infoi Name: L L. O 21 ❑ Municipal Band Commission ❑ ParislLamar County Board of Health Wubl nin g & Zoning Commission ic Library Advisory Board ❑ Traf .fic Commission ❑ Zoning Board of Adjustment Address: Work Phone: Home Phone: Fax: E-mail Address: 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 dateut~~L.. $Qf service on any City boards, commissions, or committees. n ~J i Certification and Authorization By signing below, I acknowledge that [ 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 [ will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. [ 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. [ certify that the information given by me in this appiication 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..applicqfion may P~e available to the public upon request. , Signature of Candidate:-S,,~~Y Date: 4 - Z[-/ 0 For City Clerk's Use Onl Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 171 FRnrI : _r McFaddzt, x Hssoc FAX N0. :9037^o54cb.j Apr. 15 2010 09:21Ah1 P 1 BOAItD/COM.MiSSION/CQMMITTEE APPLICATIOIY The Paris C'ily Co,uncil is sceking cotnmitted individuats who are dcdicated to tiic well-being oi'the Paris COmnilunity t0 serve on its standing Uoards, commissions, and conuiiittecs. in general, it is tIle City Council's poliey to appoint persons to a maxirnum of two eanseettlive full tlu•ee-ycar terlns ou agivcn hody. In addition to the bcneral qualifications listed in thc cecrtification below, otlier quali f1Cationti tnay be manda.ted by statutc, C.ity C12ACtCr, ordinaucc, or resolution. Ylease complete the inforniation requcsied beluw and retw-n to: City C'lerk, 150 SE First Street/P.O_ l3ox 9037, Paris, 1'cxas 75461. Board/Commission/Cornmittec of'Intcrest ❑ Airport Advi`ory Board 0 Fiuilciing & Staidtirds C:ummissicnl C.iviI Service C:ommission ❑ Ecoiiomic l)evelaPmcnt C'orporation ❑ Historic PreSet`valion Comi-nission ❑ Housing 1luthority Board of Cummissioners ❑ Main Strccl Advitim.y Board Cand;date Informat;on Natric: Ta p f`AOQ0~d ndare5s: 53~ ~11_9uR~ ❑ Mtinicipal Baiid Cc>mtnissicm Paris/Lama,r Cnutrty Board uI'I-iealtn ~ Ylanning 8c. %oning C'ommitision ❑ Public i.ibrary Advisory 13oarcl ~ Traffic C:'omtttission ❑ Zcming Board uf Adjusiment Work Phone: qo3' 2 4 lo - 9~ Home Yhone: ~ p ~ ~f ~ - 1ax' L-mail Address: on l~. I bh MG-A dden ,com Ylcase ncite any special knowledgc, education, or cxperienec you liave tha.t is applicable to the funciion of ehe board, commission, or com.mittce of intcresi (attach additiuna] pages if necessary), lf applicablc, list clates of service on any City boards, commissions, or commilcees. ~Ej~Vc,~ ~ ~/4,(_ 6_w~j)jLAE o,V -InAFrl( 6U)qr,,fs* T wOuO ~r I 0_0t~<ZD IT) ',TAj,N& Jjy V PL~JJ~}NV ~ ZaNIj& N65~6), Certifc:ttion and Authorization Ry signing below, 1acl:rwwledge that f am awarc and agree to Lhe prohibitions of thc City of Paris Chfli-ter Und the laws of the State of'rcxa, regflriling LizpuLiyni and cunfliCts of inccrest of Zppointees to City boards, comniissiims, and cummittces. I alsu certify that if.,ppointed I will attend at least 75 percent ol'all regulzu• mcetings and shall nol have any itclinquent indebtcdness lo the City during my tertn. f unders[and that the number of pasitions on xgiven 6osrd, comcriission, or cummittee is lirriitcd arid that I ir,ay ,1uc he appo;mud; however, if I arn not appointcd, 1 agrcc to be placed in a datahase fur pussible ftrture rioti(icitiun al' topics of interest. I cerkify thxt the irtfortnalion given by me iti this applicfllion is tnie anil con-ect attd itty fa15e inlunni[ion or ni15reprL-szjitation is sufficicnt grounds f6r disquqlitication. f autliorizc the C'ity ul Paris to veriiy aIl infurmalio,i proviilcd in this apefltian. fn flccurdance with Scction S52 of the Local Government Code, I understattd lhat infurni1tion provided in this appl' •at~~na ~b ^vailablc to tl,e public unou requcst. ~ign~ihirc c~l'Candic~ale: ~ U f 16 ~ h~~ Zo/U lllate: For ('It CI rk's li,se nl Lo►nflict of intewest: Y/:N I ndcbtedneSs: Y/ N Nepotisny: YJ I2 3.4 5 6 7 Previuus Service: U 12 3 a 5 6 C:itv uf Paris ~ Rcviyed 08/14/08 17 BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First StreedP.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation Iistoric Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information Name: Address: d Work Phone: d~ Fax: ❑ Municipal Band Commission 0~aris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Home Phone: E-mail Address: Please note any special knowledge, education, or experience you have that is applicabl the board, commission, or committee of interest (attach additional pages if necessary) the function of If applicable, list By signing below, 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. [ also certify that if appointed [ 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, 1 agree to be placed in a database for possible future notification of topics of interest. L certify that the information given by me in this application is h-ue and correct and any false information or misrepresentation is sufficient grounds for disqualification. I autllorize the City of Paris to verify all information provided in this app Ncation. In accor ance with Section 552 of the Local Govemment Code, 1 understand that information provided in this app ation y Yv ab 'the public upon request. Signahire of Candidate Date:_q- For Citv Clerk's Use Onlv Conflict of lnterest: Y/ N[ndebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris 173 Revised 08/19/08 eQ/I k,ertiiication ana autnorization BOARD/COMMISSION/COMMITTEE APPLICATION The Paris City Cotmcil 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 ternis on a given body. In addition to the general qualifications listed in the certification below, other qualifications may be maudated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board fA Building & Standards Commission VF'41 Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: I/ Address: A0 A~X 6a'I'_3 S-W-qPhone: 9Uj Home Phone: 46 r16 Fax: E-mail Address:~ ~1 .OursF~j~~~,~ 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. ~_dJe+F~^~'~Y '4C" iGf,p'J Uei' le- GY1-'s4- d-1~ ~96 u.e,r/. 44 mo'of ' ~/7.,c~fi3rA -4 ~1~'IK ~~7dUQ-~O✓1 G ~ 6ti/' LlJf/ /'S~J4.~'y /•~17f~ ICM.~~1L~s ~ ~/`~19' 1' .Pf. By signing below, 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. 1 alse 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 dttring nry 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 1 am not appointed, ] agree to be placed in a database for possible future notification of topics of interest. ] certify that the inforniation given by me in this application is true and correct and any false infoi-mation or misrepresentation is sufficient groimds for disqualification. I authorize the City of Paris to verify all information provided in this a plica on. In accordance with Section ~~2 of the Local Government Code, I understand [hat information provided in th , ap lic ~on may b avail ble to the public upon request. Signature of Candida : Date: ~AG/a For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 lft,aZp "'4 1 TIC Certification and Authorization BOARD/COMMISSION/COMMITTEE APPLICATION 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 t11e 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board . ~f Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name: ~ vv► ~ ~ ~ . ''~,°t_~~ ~ Adrlracc• , Z ?CsR 3b=1r,Phone: S°°-3 aame hone: !l 5_3 7 Fax: E-mail Address: 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. r B 9! 6 -2- a m By signing below, 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~.ic upon request. Signature of Candidate: ~ !~/~'l---d Date:__ Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y/ N Dist.: 12 3 4 5 6 7 Previaus Servicec 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 17 ~f Lertitication and Authorizanon Janice Ellis From: support@civicplus.com Sent: Friday, March 26, 2010 1:50 PM To: Janice Ellis; Denene Taylor 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 wetl-being of the Paris community to serve on its standing boards, eommissions, arK'i committees. In general, i# is the City Couneil's po4icy fo appoint persons to a mayjmum of two consecutive fuN three-year terms on a given bady. In adddion to the general quatifications listed fn the certification below, other qualifications may be mandated by statute, City Cha►ter, Qrdinance, or resoludon. Please compleo-te the information requested below. First Name' Vic last Ressler Name' Address' 4020 Holbrook St. City' Paris State' TX Zip` 75480 (X) 75482 75461 Telephone 903-785-6427 (903)123-4567* Afrport Advisory Board Municipal Band Commission Areas of Interest' Building & Standards Parts/Lamar County Board of Commission Health Civii Senrice Commission planning & Zoning Commiss+on [Xj Economic Development ( l Public Library Advisory Board Corporation [ ] Trafficc ComfMssion Historic Preservation I I Zonirig Board of Adjustment Commission [ ] Housing Authority Board of Commissioners j j Street Advisory Board Please note any special knowledge, education, or I have been a Real Estate Broker here since the mid-seventies. I own and experience yau have that is applicable to the funct+on manage a large real estate firm and am heavily involved In corttmercial real of the board, commission, or committee of interest estaie. !n addition, I have been helping our industries and medical groups in (attach additional pages if necessary). If app3icable, recru#bng for years. I currently serve on the Airport Advisory Board (more than list dates of service on any City boards, commissions, 10 years, chair for more than 5 years) and am on the AirpoR Planning Advisory or committees. Committee. I serve on my church finance committes and chair the parish council. I believe that ail of these experiences would help make me a contributing member to this committee. Certification and Authorization t acknowledge that I am aware and agree to the prohibitions of ttae 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 perceni of aA regular meet+ngs and shall not have any delinquent indebtedness fio the City during my term. I understand that the number of positions on a given board, commission, or committee is limited and that 1 may not be appointed; however, if 1 am not appointed, I agree to be placed in a database ior possible future notification of topics of interest. 1 certify that the information given by me in this application is true and correct and any false inforrnation or misrepresentation fs sufficient grounds for disqualification. I authorize the City of Par+s to verify atl information provided in this application. In accordance wiih Section 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request.' [X] Agree [ ] Disagree * indicates required fields, iI~J The following form was submitted via your website: Application for Board s/Committee/Commi ssion First Name: Vic Last Name: Ressler Address: 4020 Holbrook St. City: Paris State: TX Zip: 75462 Telephone (903) 123-4567: 903-785-6427 Areas of Interest: Economic Development Corporation 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 been a Real Estate Broker here since the mid- seventies. I own and manage a large real estate firm and am heavily involved in commercial real estate. In addition, I have been helping our industries and medical gnoups in recruiting for years. I currently serve on the Airport Advisory Board (more than 10 years, chair for more than 5 years) and am on the Airport Planning Advisory Committee. I serve on my church finance committee and chair the parish council. I believe that all of these experiences would help make me a contributing member to this committee. 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 1 may not be appointed; however, if 1 am not appointed, I agee to be placed in a database for possible future notitication 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: 3/26/2010 1:50:14 PM Submitted from IP Address: 75.109.205.132 Form Address: http://www.paristexas.gov/forms.aspx?FID=69 17 r BOARD/COIVIMISSION/COMMITTEE APPLICATION 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 bf two consecutive full three-year terms on a given body. In addition to the general qualifications listed ln the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ uilding & Standards Commission V il S ervice Commission nomic Development Corparation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health PTPlanning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment 3 ~~CIRIED CIT-Y Ad . E~ pq,~s ~X~AGs Work Phone~7 ,~'s --/3' Home Phone: r5;;e-L2Z2 ,1¢ 3 Fax: E-mail Address: 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. Certification and Authorization By signing below, 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 shail 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. 1 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. ln accordance with Section 552 of the Local Government Code, 1 understand that information provided in this a wa b_y e available to the blic upon request. Signature of Candidate: Date: ~ --.i -2 r; For Citv Clerk's Use Onlv Conflict of Interest: Y/ N Indebtedoess: Y! N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 12 3 4 5 6 City of Paris Revised 08/19/08 17 8 BOARD/COMMISSION/COMMITTEE APPLICATION 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 qualificatians listed in the certification below, other qualifications may be mandated by statute, City Charter, ordinance, or resolution. Please complete the information requested below and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission Ee'Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners dMain Street Advisory Board Candidate Information ❑ Municipal Band Commission Q Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ~oning Board of Adjustment Name: i>iA,~iA~y _P, StY1y~E1g Address: _ 4 7 75- Fj3 A,l E AVEN.D 6W- 7~5~6 Work Phone: 903 -,5-17- 6 9`40 Home Phone: ~!o.3 - 7~yl3.27 Fax: E-mail Address' . `y, . 4-' 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. r ~dalJa~ &F-c~~'fb fDrMO .4,e..-~3, Ao= 1.ft1`1eU5757" l/~9 Tb S'cP, x`c d.v ?/~E D.crE _7 la~~u,cD .&E~ Lydn47-, Certification and Authorization By signing below, 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 aiso 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, 1 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 apQlication is true and correct and any false information or misrepresentarion is sufficicnt 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, ( understand that information provided in this application may be availabl to the public upon requesL Signature of Candidate: Date: For Citv Cterk's Use Onlv Cooflict of Interest: Y(9Indebtedness: Y(9 Nepotism: Y/(9 Dist.: 12 3 4 5~~ Previous Servic~ .0 l 2 3 4 5 6 City of Paris Revised 08/19l08 170 William D. Sanders 3775 Eagie Bend, Paris, Texas 75462 - 903-517-6593 wdsanders(cbsuddenlink.net BETIRED DIRECTOR SAFETY, NEALTN, SECVRtTY CAMPBELL SOOP Industrial Engineer and System Analysis for 10 years. Planning and Scheduling Manager for 12 years. Regional Safety Director for 10 years. Director Safety, Health, Security for Paris Plant, Southplainsfield N.J. Plant and Milwaukee Plant for 12 years. On the Paris Plant Management Staff Leadership Team reporting to the Plant Vice-president. Key Skllls - Injury Prevention - Site Safety/OSHA - Employee Involvement - Hazard Identifrcation Compliance - Training - Health Programs - Problems Solving Teams - Promoting New Ideas - Managing People Employer Summary ESTABLISHED THE TOP EMPLOYEE INVOLVEMENT PROCESS IN CAMPBELL SOUP COMPANY. MEDICAL AND HEALTH DEPARTMENT WAS NOTED AS BEING THE BENCHMARK MODEL FOR CAMPBELL SOUP. DESIGNED AND IMPLEMENTED BENCHMARK SAFETY PROGRAMS FOR CAMPBELL SOUP. RECEIVED THREE EXTRAORDINARY PERFORMANCE AWARDS FOR NEW AND INNOVATIVE SAFETY PROGRAMS. PARIS PLANT RECEIVED THE CAMPBELL PRESIDENT AWARD FOR THE PLANT WITH THE BEST SAFETY PROGRAMS IN THE C4MPANY, PARIS PLANT WAS THE LEADER IN CAMPBELL SOUP COMPANY FOR INJURY REDUCTION. ESTABLISHED SECURITY PROCEDURES AND FOOD SECURITY PROGRAM FOR TH E PARIS PLANT. Education & Certifications TEXAS TECH UNIVERSITY (Lubbock, Texas) - BS in Industrial Manaaement/Industrial Engineering, 1967 Safetv and Health Certificates for manv Safetv Subiects 189 BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First StreetlP.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board XBuilding & Standards Commission gCivil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission N Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ~ Planning & Zoning Commission ❑ Public Library Advisory Board ~ Traffic Commission ~ Zoning Board of Adjustment Name:-!E~AQ.!-!~~4 's H % V Er- Address: ko`-tD 2f►'~"^ Sc. t~A' 1tiS,T>c '1514co Work Phone:`103.'71%3.3G.S5 oa. 903.115.15$3 Home Phone: c1b3 •'1g~ Z-( a Fax: C103 .1301 • Z Sp S E-mai I Address: boshive(' Q C'oAa►e.l"'Swc.Ae . Gov%,, 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. MD ?IZ % O/L -dpFk2D S~2 V lGC . C rv~ ~ t-o V- N`F ra T+K RAS-ir 114 c4-e10.12S t,JoL4 Ex,►Y0.%¢t.kct \WL,ac'S 3-":,e51 &,W ~~S-nMi4T~NC~r INVC- NTpRU CbNT/LOL.,C-NV 1QON MENrrYtt- 1 &u(,~T-1O6c Av1.m. ?ec~CCS I 14AV E ~(pQ,~C`CD '1'kQp~1~.HO V'f TNC VN i-t!D 'E:~ES ~CAO-U%t~r4 PtNt, Tt4t VN t'tE1tb ~VNG.~~ . AS'SaC~wz''ES ~ SL~eN[.E -~+t-4,.tL ~uN~o2. C_o~~~6.►~ Certification and Authorization By signing below, I acknowledge that 1 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. 1 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.'~~Iordance with Section 552 of the Local Government Code, 1 understand that information provided in thytion b available to the public upon request. Signature ofCandidate: Date: 03126IZcob For Citv Clerk's Use Onl Conflict of Interest: Y/ N Indebtedness: Y! N Nepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 I 2 3 4 5 6 City of Paris Revised 08/19/08 ~8"L BOARD/COMMISSION/COMMITTEE APPLICATION 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 bf 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 and return to: City Clerk, 150 SE First Street/P.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board P'Building & Standards Commission ffCivil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board [TTraffic Commission ❑ Zoning Board of Adjustment Name: 1ZLX l _5 7,~l /ti'1 P 4 Address: ~ 3S L/+ n' lA (Z # Y' ~ t'j~-4 15 75 Work Phone: ~ Home Phone: qUJ , -7 N: & S7 LI 3 Fax: ~ E-mail Address: x L Ll q 7ti- (0 if('x h pE),CE) rv~ 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 dltes of service on anv C'itv hnarrie r.nmmiccinnc nr enmmittPPc Certification and Authorization By signing below, 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 wili attend at least 75 percent of all regular meetings and shalf 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 [ 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. 1 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 applico may be available to the public upon request. Signature of Candidate :~~2c Date:06)-07-! D For Citv Clerk's Use Onl Conflict of Interest: Y! N Indebtedoess: Y/ N lYepotism: Y/ N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris _ .a._ ...m ~ ; . APR 1 ?010 Revised 08/19/08 BOARD/COMMISSION/COMMITTEE APPLICATION 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 and return to: City Clerk, 150 SE First StreetlP.O. Box 9037, Paris, Texas 75461. Board/Comrnission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission W_<Iconomic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board ❑ Municipal Band Commission ❑ Paris/Lamar County Board of Health anning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Candidate Information Work Phone: C403-?~j I~ l'j I elf - t Home Phone: q 03 "J 17"3 91 ~ Fax. E-mail Address: CC'i(1G 0 U dJ (~~T c~~ Please note any special knowledge, education, or experience you have that is applicable to the function ofi the board, commission, or committee of interest (attach additional pages if necessary). If applicable, list dates of service on anv Citv boards_ commissions_ e,r cc,mmirtPP~ ~ (C--,- By signing below, 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. 1 also certify that if appointed I will attend at least 75 percent of all regulaz 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. 1 authorize the City of Paris to verify a11 information provided in this application. In accordance with Section 552 of the Local Government Code, I understand that information provided in this app 'ca ion may be available to the public upon request. Signature of Candidate: Date: -DJ~a~_~ ~ s b 223 4 5 6 7~111t3 ! 2 3 4 S 6 City of Paris Revised 08/19/08 18 00 Certification and Authorization Janice Ellis From: support@civicplus.com Sent: Tuesday, June 08, 2010 1:45 PM To: Janice Ellis; Denene Taylor Subject: Oniine 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 Namei douglas Last wehrman Name' Address' 1050 wilbum City' Paris State' TX Zip* (X) 75460 75462 75461 Telephone 903-785-1837 (903) 123-4567' Airport Advisory Board Municipal Band Commission Areas of Interest" Building & Standards Commission Paris/Lamar County Board of [ ] Civil Service Commission Health [X] Economic Development Planning & Zoning Commission Corporation [ J Public Library Advisory Board [ j Historic Preservation Commission I l Traffic Commission Housing Authority Board of Zoning Board of Adjustment Commissioners [ J Street Advisory Board Please note any special knowledge, educatian, or Owened and operated a successful physical therapy clinic for over 35 years. experience you have that is applicable to the Formed first and only successful joint venture between iwo competitive function of the board, commission, or committee of hospitals. Very ac6ve in developement of programs for children in atheletics. interest (attach additional pages if necessary). If Very active in community activities, church, industry artd medicine. Resume applicable, list dates of service on any City boards, available if desired. My passion has been with Paris since I moved here in 1975 commissions, or committees. and Paris has been very good to me and my family. I want to keep jobs in Paris and work hard to bring further employment to our community. I know I have the skills to make this happen and I'm willing to go the extra effort for Paris's success. 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 notifica6on 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 infoRnation provided in this application. In accordance with Section 552 of the Local Govemment Code, I understand that information provided in this application may be available to the public upon request.` [X] Agree [ ] Disagree * indicates required fields. i iG~ The following form was submitted via your website: Application for Board s/Committee/Commi ssion First Name: douglas Last Name: wehnnan Address: 1050 wilburn City: Paris State: TX Zip: 75460 Telephone (903) 123-4567: 903-785-1837 Areas of Interest: Economic Development Corporation Please note any special knowledge, education, or experience you bave 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.: Owened and operated a successful physical therapy clinic for over 35 years. Formed tirst and only successful joint venture between two competitive hospitals. Very active in developement of programs for children in atheletics. Very active in community activi.ties, church, industry and medicine. Resume available if desired. My passion has been with Paris since 1 moved here in 1975 and Paris has been very good to me and my family. I want to keep jobs in Paris and work hard to bring further employment to our community. I know I have the skilis to make this happen and I'm willing to go the extra effort for Paris's success. Certification and Authorization 1 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 tnat if appointed 1 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 nuinber 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 inforniation 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: 6/8/2010 1:45:04 PM Submitted from IP Address: 99.36.149.76 Form Address: http://www.paristexas.gov/forms.asqx?FID=69 187) BOARD/COMMISSION/COMMITTEE APPLICATION 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 Ciry 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 and rehirn to: City Clerk, 150 SE First StreedP.O. Box 9037, Paris, Texas 75461. Board/Commission/Committee of Interest ❑ Airport Advisory Board ❑ Building & Standards Commission ❑ Civil Service Commission ❑ Economic Development Corporation ❑ Historic Preservation Commission ❑ Housing Authority Board of Commissioners ❑ Main Street Advisory Board Candidate Information ❑ Municipal Band Commission ~C] Paris/Lamar County Board of Health ❑ Planning & Zoning Commission ❑ Public Library Advisory Board ❑ Traffic Commission ❑ Zoning Board of Adjustment Name:_~ l 7~~~~At'RS Address:_)Q(n VR.r-vDkSt ~6~-•~r~FA~~, x IS~~.3 Work Phone: '1~5 -qc100 Home Phone: qo3 - Fax:%>'S-~g5 E-mail Address: 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 applicaUle, list dates of service on any City boards, commissions, or committees. ~ Certification and Authorization By signing below, I acknowledge that 1 am awarc and agree to the prohibitions of the City of Paris Charter and thc laws of the State of Texas regarding nepotism and conflicts of interest of appointees to City boards, commissions, and committees. [ also certify that if appointed [ will attend at least 75 percent of all regular meetings and shall not have any delinquent indebtedness to the City during my term. t understand that the number of positions on a given board, commission, or committee is limited and that l may not be appointed; however, if I am not appointed, I agrce to be placed in a database for possible future notification of topics of interest. 1 certify that the information given by me in this application is true and con-ect and any false iiiformation or misrepresentation is sufficient grounds for disqualification. t authorize the City of Paris to verify all information provided in this application. In aceordance with Section 552 of the Local Government Code, I understand that information provided in this application may be available to the public upon requcst. Signattire of Candidate: ~12p~k,_ Date: -//-/,3 /O For Citv Clerk's Use Only Conflict of Interest: Y/ N Indebtedness: Y/ N Nepotism: Y i N Dist.: 1 2 3 4 5 6 7 Previous Service: 0 1 2 3 4 5 6 City of Paris Revised 08/19/08 1g'~J Janice Ellis From: support@civicplus.com Sent: Thursday, October 29, 2009 5:45 PM To: Janice Ellis; Denene Taylor 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 Gity Cauna1 ts.SeeKing cqtnmitteci indiwidualss who are dedicated to the well-treing of the Paris commut►ity €p serve on its stantiing boatdg, commissions, and `comrnittees. tn gener°af; it is the City Cauncil's palicy to' apPaint persor~s.to ;a t'n~inurn.'of two' consecutive'ful! three-~year Eerms oa~ a given body. In adtlititsn to the gsneral q~ralificatians fisted in the certFficatian' belo4v,,other qualifca#ions inay be tttandatetl by s#afute, City Charter, ardinance, or resotution. Ptease complete the Erifoffnatinn requested below. First Name' ` Fred Last Witliams Narne* Address' 6480 Hwy 79 City* Sumner State* TX Zip* 75460 (X) 75462 O 75461 Telephone 903 7$2 9419 (903) 123-4567* : [X] A►rport atlvisory Board IWunicipal Band; Cflrrirnission Areas of In#ei'est* Building & Sfandards Commission { I;Paris%Lamar Courity Qqaird of . [ ] Civil Serrrice Gommission Heatth [ l Economic Development [ l Plan~i(tg-& Zcning. Corrrmission Corporation [ l Pua}ic Lihrary Adwisory 'Board ~ [ a t-tistoric Preservatian Commission f) Traiffic Corrtmission [],Housirtg Authority Board of I I Zoning Board of Adjustrnent Commissioners [ ] Street Advisory Board Please note any special knowledge,'education, or Pilo#, aircraft birilder and mechanic. Physician. Have my airplane houseci at experience you have that is applicabls to the Paris Cox Fiehd, Correct zip eode 75486 functien of the board, corttmissiQn; or cornmittee of interest (attach additional pages i# necessary). If applicabfe, list dates of service on any City boards, commissions, ar carr►mittees. ` Certificatian and Authorization I acknowledge fhat I:am aware and agree to the prohbitions of the City af Paris Charter and the laws of the State of Texas regarding nepotism and carr#ficts of interest of appointees to Gity boards, commissions, and committees. I also certify thai i# appainEed I witi after►d At teast 7&percent af alt regular meetings and shaU not have any delinquent indebtednESS to the City during my terrn. I understand'that the number'of positions on a given board, `commission, ar committee is limited and that ! may nqt be appofnted; however, if I am not appointed, I agree to be placed in a database for pQSSible future nofification o# tapirs of irtterest. I cerfify that the in#ormatian given by' me irr this apptication is trve and correct and any false information ar rrs{srepresentation is sufficient grounds for disquafification. I authorize the City of Paris Eo veri#y al1 information prouided in this application. In accardance with Sectian 552 of the Local Gavemment Cade, I understand tha# information provicted in this application may be available to the public upon request* [XJ Agree * indicates required fields. [ ] Disagree The following form was submitted via your website: Application for Boards/Committee/Commission 187 First Name: Fred Last Name: Williams Address: 6480 Hwy 79 City: Sumner State: TX Zip: 75462 Telephone (903) 123-4567: 903 782 9419 Areas of Interest: Airport Advisory Board 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.: Pilot, aircraft builder and mechanic. Physician. Have my airplane housed at Paris Cox Field. Correct zip code 75486 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: 10/29/2009 5:44:51 PM Submitted from IP Address: 66.76.56.215 Form Address: http://www.paristexas.qov/forms.aspx?FID=69 z 18P)