Loading...
Robinson, Douglas - AP 2014-09-12This information is a public record. Public Service opportunities are offered by the City Of Coppell without regard to race, color, national origin, religion, sex or disability. LIORIECEHED SEP 12 2014 Fet Office Use Onl City Seretary D e Receiveidty of Coppell __ j— ...,, .... ,,,,,„u ,,, uYY,yl„s 1V1 111V10 luall unt; position tmaximum or tnree), 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 ADVISOR -PARK & REC BOARD 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 ❑Mrs. 11 Ms. POt311t!QorJ ]�>OoC'-LA5 p. N Mr. Last Name First Name 1 (o ® 7 C4_4:;T -JE PR 750I fLl (v`>'3 7 Home Address Zip Code Contact Phone Qualified voter in the City of Coppell? (Circle one) O N Resident of City for ,,,_5years? T / �j Voter Registration Number or Date of Birth M/9' 0 19 403 2/'n - 151'7-7'7!51'7-7 3/ZOW f'r_r__s6,-4r If applying for Youth Advisor indicate grade for 2014-2015. Email Address Do 19q Ejw so iN I L L 5 `U 1, COM List an experience 'TIExA,s iNDuj the I C%e COW - T 1411RA4 S5 Have you ever served as a member of any Coppell boa; If yes specify which one and the approximate dates of goA" ©.#d-' A-DJusrmai4 r i I- ov -07?- -r Srcj<'-. L4gWr rf Orl C,UAkC T ommAsions/committees? (Circle one) ice.6b.. Cyr- A -DUST' q�T, J-7 /.-% PLAni &I int G- 4 74 nc i nt G- 1 / r 3 PP--ZS4N T �r-0i1h] Have you attended one or more meetings of the board/commission for which you have applied? (Circle onne,�. YY N List any civic or community activities in which you have been involved. • C4T1 Z6P4S on q as /7- i" sJ 7 � V P i'►'I�3t=,� � * 14 0A- A(!e- 51 DErlI- � /�Z�i. 40/oRoi- �ITr n45 SIRE AX+4& • CIjP il- 2o3G?, Ki0 t�oc�ntZKyo c -A DG FR&36gTs Do you have any business or personal relationship with the City of Coppell that would affect your ability t have impartial judgment in City matters? (Circle one) Y If yes, please explain List your educational background. TiCi45 COO P ,9'--**bUCA-fi c).J 1A1 U r.2 -75::� GT L) D642A F1 ON09.50CI AE V, ©,�- 60114 r Z-CoDe, n/�, <5&45#%J�{ ft!/ni G What is your current place of employme t or business affiliation? (Please indicate if you are self-employed or not employed.) �E p�(/9-(� 1axo.1 fir' /�I') 4NAi � rok W lL.,(,.4m s SC-at"5�'1'1 What is your occu�pational experience? Cp�.(tj�f}p(//�I PLANNING & ZONING OR BOARD OF ADJUSTMENT APPLICANTS — Please answer the following: Doyou have working knowledge in any of the following areas: Real Estate/Development N� Business Development Law/Contract Administration ft� Land Use Concepts and Master Plan VManufacturing/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. 6th - Wed., Oct. 8th - Thurs., Oct. 9th - Mon., Oct. 13th - 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. 22nd - Thurs., Oct. 23`d