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Pate-Ulmer Linda- AP 2011-09-16RN RECEIVED This information is a public record. For Office Use OOAP 2 0 2011 Public Service opportunities are offered by the City Of Coppell without regard to race, color, national origin, religion, sex or disability, Date Received ,lTy ecr`oj,-n r,Y If you are interested in applying for more than one position (maximum of three), please indicate the order of your preference by placing a number in the space to the left of the board/commission/committee for which you are applying (#I being your Ist choice, #3 being your last choice) Note: Youth Advisors are not eligible for other Boards. If a board has more than 25 applicants, interviews will only be granted to those who have chosen that particular board as their first choice. Please note that choosing more than one board increases the chances of being appointed. ANIMAL SERVICES ADVISORY & APPEALS PLANNING AND ZONING COMMISSION BOARD OF ADJUSTMENT SPECIAL COUNSEL CONDUCT REVIEW BOARD YOUTH ADVISOR -KEEP COPPELL BEAUTIFUL COPPELL ECONOMIC DEV COMMITTEE YOUTH ADVISOR -LIBRARY BOARD KEEP COPPELL BEAUTIFUL BOARD YOUTH ADVISOR -PARKS & REC BOARD LIBRARY BOARD If asked to serve on a different board than you indicated, would you be interested? (Circle one) Yes No Would you be interested in serving on any AD Hoc Committees or Citizen Summits that may arise during the year? (Circle one) Yes No PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION CLEARLYIN BLACK INK ONLY. a Ms. 0 Mrs. Pate -Ulmer ❑ Mr. Last Name 339 Harwell St Home Address Business Address Linda First Name 7501997( 2 )462-1039 Zip Code Home Phone Zip Code Business Phone L MI Resident of City for 25+ years Qualified Voter?Q YES ONO (MUST BE REGISTERED TO VOTE IN THE CITY OFCOPPELL) If applying for Youth Advisor indicate grade for 2011-2012 Email Address (required if available) 1pateulmer@gmail.com List any experience that qualifies you to serve in the positions sought. I am currently a volunteer on the Animal Services Advisory & Appeals Board Have you ever served as a member of any Coppell boards/commissions/committees? Yes S No ❑ If yes, specify which one and the approximate dates of service. I have been a volunteer on the Animal Services Advisory & Appeals Board for the last year. List any civic or community activities in which you have been involved. I attended the 2011 Citizen Summit. (continued on back) i Do you have any business or personal relationship with the City of Coppell that 0 YES would affect your ability to have impartial judgment in City matters? p NO If yes, please explain List your educational background. I have a BS/MS in Accounting from UNT. What is your current place of employment or business affiliation? (Please indicate if you are self- employed, a Homemaker, or not employed.) Currently not employed, but am looking. What is your occupational experience? Financial and operational auditor at Texas Instruments, as well as an accounting supervisor and general accountant. I have been an office manager and also a regional A/R supervisor. This application is the only information considered for appointments by the City Council. Please do not send resumes, business cards, photographs or letters of recommendation. Please call (972)304-7016 for more information about the City's boards, commissions and committees. STATEMENT OF INTENT: "If appointed, I agree to serve on the Board/Commission for which I have applied. I do solemnly swear (or affirm), that I have not directly or indirectly paid, offered, promised to pay, contributed, or promised to contribute any money or thing of value, or promised any public office or employment as a reward to secure �jt my appointment or confirmation, so help me Goodd.(jDate: rt� II Si nature: 06 /2 Return to: Boards & Commissions, % City Secretary - P. O. Bog 9478, Coppell, TX 75019 Or in person: City Secretary's Office - 255 Parkway Blvd., Coppell 75019 (DEADLINE FOR RETURNING APPLICATION IS SEPTEMBER 23, 2011 at 5:00 p.m.) FAX COPIES WILL NOT BE ACCEPTED! The interview schedule is as follows and will be conducted in the eveings. There will be no makeup times. If you will not be available for the interview, you may wish to consider another board. Incumbents are not required to re -interview but are strongly encouraged to do so. You will receive a letter prior to the interview scheduling your interview time for the appropriate date. Animal Services Advisory & Appeals - Tues., Oct 18 Board of Adjustment - Mon., Oct. 17 Conduct Review - Thurs., Oct 20 Economic Development - Wed., Oct. 19 Keep Coppell Beautiful - Wed., Oct. 5 KCB Youth Ad. - Thurs., Oct. 20 Library Board - Tues., Oct. 18 Library Board Youth Ad. - Thurs., Oct. 6 Park & Rec. Youth Ad. - Tues., Oct. 4 Planning & Zoning -Thurs., Oct. 6 Special Counsel - Thurs., Oct 20