HomeMy WebLinkAboutItem 11 - Senior Citizens Advisory Board AppointmentMEMO TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: ROGER NELSON, CITY MANAGER°
MEETING DATE: JULY 20, 2004
SUBJECT: SENIOR CITIZENS ADVISORY BOARD APPOINTMENT
RECOMMENDATION
Appointment of Ms. Anne Pitts to the Senior Citizens Advisory Board for a two-year term.
BACKGROUND
The Council liaison to the Senior Citizens Advisory Board, Mayor Pro Tem Ted R. Ware,
recommends appointment of Ms. Anne Pitts to a two-year term on the Board. Her
application is attached.
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July 12, 2004 9:31 AM
MAY -07-2004 01:04 PM PITTS
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Application for Appointment to Citizen Advisory Board or Commission
(Please type or print clearly)
Note: All Information on this application Is public pursuant to the Texas Public Information Act
BOARD OR COMMISSION DESIRED: fJir S VI
(Note: Pise apply for only one board or commission Mrapplication.)
NAME: (70-n - D 14S Nome Phone l `► r""i o
ADDRESS: 1210 1 A nD d Qrg5-t-- Ch- Grapevine Resident .Yrs
EMPLOYER: 6M-f_ct'C &P, ffi Ct iy i Work Ph:__%42& t
POSITION:y�r'- To Vitt' 10X14 ' Tarrant Co. Voter Registation NOD I�„Q�� Of
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Special knowledge or past experience qualifying you for this appointment:
Other relevant information (civic activities, memberships, etc.)
REFERENCES: List the name and phone number of at least one Grapevine resident as a reference,
especially any City staff, City Council, or current Committee members who may be contacted on your
beh If.
INTEREST: Explain why you are interested in being appointed to this board.
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EXPERIENCE: Indicate what meeting(s) you have attended of the committee for which you wish to be
considered: 49r,,.
Indicate the number of Grapey' oXity Council Meetings you have attended in the past twelve months:
Please read the statement below and sign your name to indicate your understanding.
! UNDERSTAND MY A NDANCE WI BE REQUIRED AT ALL COMMITTEE MEETIN® .
Signature of Applicant: � Date Submitted:
RETURN COMPLETED APPLICATION by May 7, 2004 to: Linda Huff, City Secretary
200 South Main Street (or)
P.O. Box 95104
Grapevine, TX 76099
17) 410-3182
*Or by Fax to: (8 17) 410-3004
01113/2004 1q �Qq'
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