Garfield, Reid - AP 2014-09-03'HIEC NED
This information is a public record. le
Office Use Only
Public Service opportunities are offered by the City Of Coppell without regard City Secretary
to race, color, national origin, relikion, sex or disability. Recelff of Connell
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). Please note: Youth Advisors are for students in grades seven through eleven. Members of the Park
Board, Library Board and Keep Coppell Beautiful are subject to a background check.
BOARD OF ADJUSTMENT PARK & RECREATION BOARD
COPPELL RECREATION DEV. CORP. PLANNING AND ZONING COMMISSION
ECONOMIC DEVELOPMENT COMMITTEE YOUTH ADVISOR -KEEP COPPELL BEAUTIFUL
KEEP COPPELL BEAUTIFUL YOUTH ADVISOR -LIBRARY BOARD
LIBRARY BOARD YOUTH ADVISOg-PARK & REC BOARD
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If asked to serve on a different board than you indicated, would you be interested? (Circle one) Y N
Would you be interested in serving on any AD Hoc Committees or Citizen Summits that may arise during the year? (Circle one) Y N
Would you be interested in serving on any non-profit organization/committee/ task force that may arise during the year? (Circle one) Y N
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION CLEARLY
❑ Ms. // n
❑ Mrs. 12� ►1trY.l c
Mr. Last Name First Name MI
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Home Address Zip Code Contact Phone
Qualified voter in the City of Coppell? (Circle one) d> N Resident of City for 3 1 years?
Voter Registration Number or Date of Birth '1 %16/S�L
If applying for Youth Advisor indicate grade for 2014-2015.
Email Address A 11 VES 7- � A -h 00 , r o�
List any experience that qualifies you to serve in the positions sought. 6dAew+4 � +az- 7m4e- n� e A,Z
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Have you ever served as a member of any Coppell boards/commissions/committees? (Circle one) ® N
If yes, specify which one and the approximate dates of service. /. w opyA- [ Sewvt rrs Appe-4-4 l::,v.twS
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Have you attended one or more meetings of the board/commission for which you have applied? (Circle one(D N
List any civic or community activities in which you have been involved. _ A v, p"+4 ssejqu,Cr-'
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Do you have any business or personal relationship with the City of Coppell that would affect your ability to
have impartial judgment in City matters? (Circle one) Y
If yes, please
List your educational background.
101
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at is your cutrent place o employment or business affiliation? (Please indicate if you are self-employed or
not employed.) �aetn*-ry W6V Ae
What is your occupational experience?
1791- M9L3
PLANNING & ZONING OR BOARD OF ADJUSTMENT APPLICANTS — Please answer the following:
Do you have working knowledge in any of the following areas:
❑ Real Estate/Development ❑ Business Development ❑ Law/Contract Administration
❑ Land Use Concepts and Master Plan ❑ Manufacturing/Industrial Operations
ECONOMIC DEVELOPMENT COMMITTEE APPLICANTS — Please answer the following:
Do you have working knowledge in any of the following areas:
❑ Real Estate/Development ❑ Banking/Finance ❑ Business Management ❑ Promotion/Marketing
❑ Law/Contract Administration ❑ Manufacturing/Industrial Operations
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) 304-3669 for more information about the City's boards, commissions and committees.
Return to: Boards & Commissions, % City Secretary - P. O. Box 9478, Coppell, TX 75019
Or in person: City Secretary's Office - 255 Parkway Blvd., Coppell, TX 75019
Complete online: www.coppelltx.com
(Deadline for returning application is Friday, September 12, 2014 at 5:00 p.m.)
INTERVIEW SCHEDULE
Park & Rec. Board Youth
Keep Coppell Beautiful
Economic Development
Library Board Youth
Library Board
- Mon., Oct. 6"'
- Wed., Oct. 8th
- Thurs., Oct. 9h
- Mon., Oct. 13`'
- Wed., Oct. 15th
Board of Adjustment
KCB Youth
Planning & Zoning
Park & Recreation Board
Coppell Recreation Dev. (
- Thurs., Oct. 16th
- Thurs., Oct. 16th
- Tues., Oct. 21St
- Wed., Oct. 22°d
- Thurs., Oct. 23`d