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BOARD APPLICATION 2100 Walt Williams Dr. Pahrump, NV 89048 (775) 751-7075 I certify that I am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am applyin and that the info ation is true and accurate to the best of my knowledge. Signature The Board to which you are applying meets at least once a month and possibly evenings. Mail or deliver completed form to: Pahrump Town Office 400 N. Hwy 160 Pahrump, NV 89060 (This document becomes a public record once it has been received by Nye County) OPEN MEETING LAW Person interested in applying for membership on a Board should be aware of the requirements of the Nevada Open Meeting Law under which all Boards are governed. The Nevada Open Meeting Law, NRS chapter 241, declares legislative intent that all public bodies (including Boards) exist to aid in the conduct of the people’s business and that it Is the intent of the law that the member who takes action in violation Open Meeting law, with knowledge of the violation, is guilty of a misdemeanor and may be prosecuted. Wrongful exclusion of any person from a meeting of the public body Is also a misdemeanor. Any time a majority of Board members gathers together in a place that has not been legally posted per Open Meeting law requirements, they cannot discuss or deliberate on an action. This does not preclude members from gathering together; it does require that they do not discuss and deliberate on County or area business. Nye County Administration Pahrump Town Office 400 N. Hwy 160 Pahrump, NV 89060 (775) 727-5107 Name of Board: 7QR Applicant Name’ A Today’sDate: Home Address: I City: I State: / 1O I I 4,2v zip Mailing Address: State: Zip: HjeIePhone: I Other Telephone: I E-mail address 2 ()7ZJ7? I cw.44-, Are you curremployed by Nye county: If yes, whIch Department: I i have attached my resume/letter of Interest Yes D No Yes Q No Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board: h b h p 5 ‘C I Ver. 1.1 November 3,2009 Administradon - Nye County, Nevada Nye County Board Application Nye County is an Equal Opportunity Employer and Provider