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BOARD APPLICATION Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to th I certify_that I am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am and t t e information is true and accurate to the best of my knowledge. 2( Signature Date 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 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 (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 41, 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. Pahrump Town Office Nye County Administration 2100 E. Walt Williams Dr. 2100 Walt Williams Dr. Pahrump, NV 89048 Pahrump, NV 89048 (775) 727-5107 (775) 751-7075 Name of Board ‘s Date: Applicant Name c-E Q Tod 1ThO I State I Zi Home Address: Mailing Address: I City: I State: I Zip: Home Telene: I Other Telephone: mail address: you curr I have attached my resume/letter of interest: Yes E by Nye County: If yes, which Department: Yes LI Vei’. 1.1 November 3, 2009 Administiation — Nyc County, Nevada Nve County Board Application Nye County is an Equal Opportunity Employer and Provider