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Todd, Brandi-AP 2013-09-11This information is a public record. For Office Use Only Public Service opportunities are offered by the City Of Coppell without regard to race, color, national origin, religion, sex or disability. Date 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 (41 being your Ist choice, 43 being your last choice). Note: Youth Advisors are for students in grades seven through eleven and are not eligible for other Boards. ANIMAL SERVICES ADV. & APPEALS BOARD OF ADJUSTMENT ECONOMIC DEVELOPMENT COMMITTEE 1 KEEP COPPELL BEAUTIFUL LIBRARY BOARD PLANNING AND ZONING COMMISSION CONDUCT REVIEW BOARD SPECIAL COUNSEL 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 Would you be interested in serving on any AD Hoc Committees or Citizen Summits that may arise during the year? (Circle one) YY N Would you be interested in serving on any non-profit organization/committee/ task force that may arise during the year? (Circle one N PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION CLEARLY �I Ms. ❑ Mrs. Todd Brandi R ❑ Mr. Last Name First Name MI 604 Alder Ct., Coppell 75019 ( 972) 974-2971 Home Address Zip Code Home Phone 1445 Ross Ave., Dallas 75202 (—P72) 974-2971 Business Address Zip Code Business Phone Resident of City for 25+ years? Qualified voter in the City of Coppell? (Circle one) Q N If applying for Youth Advisor indicate grade for 2013-2014. Email Address (required if available) Todd. Brandi@epa.gov List any experience that qualifies you to serve in the positions sought. Developed/directed program to mitigate plastic s in Puerto Rico - won grant for $4k. Public outreach for Sea Grant. Employed by the Environmental Protection Agency. 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. First appointed to Keep Coppell Beautiful Oct 2008. Served as KCB Board Chair for two vears. 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. Current Coppell Farmers Market Committee member. Past member of Chamber of Commerce Greenstorming group. Court Appointed Special Advocate Volunteer. 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 explain List your educational background. MS Marine Science - Univ. Puerto Rico (GPA 3.9/4.0 Double Maior BS Biomedical Science and Marine Bioloav - Texas A&M (GPA 3.6/4.0) Coppell High School (Top 10%) What is your current place of employment or business affiliation? (Please indicate if you are self-employed or not employed.) US Environmental Protection Agency - Region 6 What is your occupational experience? 5 years Environmental Scientist. Respond to emergency releases of hazardous materials and perform oversiaht for removal of hazardous materials from the environment. 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) 304-7016 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 my appointment or confirmation, so help me God." Date: 09-11-2013 Signature:,'y 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 (Deadline for returning application is Friday, September 13, 2013 at 5:00 p.m.) INTERVIEW SCHEDULE Board of Adjustment - Thurs., Oct. 17 Park & Rec. Board Youth - Mon., Oct. 7 KCB Youth - Thurs., Oct. 17 Library Board Youth - Wed., Oct. 9 Animal Services Adv. & Appeals - Thurs., Oct. 24 Library Board - Tues., Oct. 15 Planning & Zoning - Wed., Oct. 30 Economic Development - Wed., Oct. 16 Keep Coppell Beautiful - Thurs., Oct.3..I