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BOARD APPLICATION Pahrump Town Office Nye County Administration 2100 E. Walt Williams Dr. 2100 Walt Williams Dr. Pahrump,NV89048 Pahrump,NV89048 (775) 727-5107 (775) 751-7075 Name of Board:QHV Pmiuc ,4Dyircr’1 Co,t,,ti-ee Applicant Name: Today’s bate: c’4A4tr ‘7,te7f Home Address: City: State: Zip: 7O Aivizi/’o A P,mzci,-,o it/v 89c Mailing Address: City: State: Zip: Home Telephone: Other Telephone: E-mail address: -v/4 7O3Y-Z92 Are you currently ployed by Nye County: If yes, which Department: I have attached my resume/letter interest: Yes El No Yes El No Ef— Please provide a brief description of your qualifications, experience, or interests that would be COflSidPred an asset to this Board: 30 OpF ion/oHV C4/7%c1JieJT I certify that I am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am applying, and that the information is true and accurate to the best ‘f my knowledge. The Board to which you are applying mee’Ls at least once a month and possibly evenings. Mail or deliver completed form to: Pahrump Town Office 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 8048 (This document becomes a public record once it has been received by Nye County) OPEN MEETING LAW Person interested in applying for membc’rship 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 Lasv, 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. Ver. 1.1 Administration - Nyc County, Nevada November 3, 2009 Nyc County Board Application Nyc C.unty is an Equal Opportunity Employer and Provider