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Williford, George - AP 2014-09-10This 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 HEMMED roffic�eEP I6h14 ite Received 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 1 st choice, 43 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 COPPELL RECREATION DEV. CORP. _7? _ECONOMIC DEVELOPMENT COMMITTEE KEEP COPPELL BEAUTIFUL LIBRARY BOARD PARK & RECREATION BOARD PLANNING AND ZONING COMMISSION YOUTH ADVISOR -KEEP COPPELL BEAUTIFUL YOUTH ADVISOR -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 INFORiVA TION CLEARLY ❑ Ms. ❑ Mrs. W t L t_ �a RD G r' iC'tr 14 D( Mr. Last Name First Name Ml 2)07- HAInV>,d CT. 1Sc>19 (Z14 )914- 1Sc) Home Address Zip Code Contact Phone Qualified voter in the City of Coppell? (Circle one) ® N Resident of City for F3 years? Voter Registration Number or Date of Birth OS' 141-15 If applying for Youth Advisor indicate grade for 2014-2015. Email Address ot Pr ct Q_- W �4rd to LQ r%+W A# List any experience that qualifies you to serve in the positions sought.nx) FIFTEEN -4GARK WEQit.NG� Id EdG►rtEF�2irJ�'T��N ITi= CiJRE. CmkicTizA ANtiN LFf.AL x,JDosrm S AS CcAS%>L:iir76 ENC�i,4EZK LI'r%GA?is�J AZTe"AJ64 Af\)D-ZA--HovSCI• foa 5�' Have you ever served as a memYer of any Coppell boards/commissions/committees? (Circle one) t N If yes, specify which one and the approximate dates of service. �sh,j,rni s_Dt��to,p/AE*I CnIiTEff Have you attended one or more meetings of the board/commission for which you have applied? (Circle one)© N List any civic or community activities in which you have been involved. cl'o-LL g t M C- ,",6 /n�Rr"112 oF�.c��S��F�L^� ►RSA �l+�Tl3rc CHJ�H C9RRac.c.i��I ^ ADUL— ` i EW—)iEg No�1T_H_ �PnR7S CoAGH Do you have any business or personal relationship with the City of Coppell that would affect your ability have impartial judgment in City matters? (Circle one) Y If yes, please explain List your educational background. k5,_5.— What 5,5.-- What is your current place of employment or business affiliation? (Please indicate if you are self-employed or not employed.) What is your occupational experience?PAoF&ss; „`Ai �Nt i �,�:,`T��� EN6, Me2m A L 17 (SRT 1 anl� TR PfrI5tfL7 i pnlf A r14 Is S/i — H eL 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 V Business Development W 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 l$I Business Management ❑ Promotion/Marketing t LawiContract 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`h - Wed., Oct. 8"' - Thurs., Oct. 91h - Mon., Oct. 13`h - Wed., Oct. 15`x' Board of Adjustment KCB Youth Planning & Zoning Park & Recreation Board Coppell Recreation Dev. ( - Thurs., Oct. 16`x' -Thurs., Oct. 16th -Tues., Oct. 21" - Wed., Oct. 22°d - Thurs., Oct. 23d