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BOARD APPLICATION Pahrump Town Office 2100 E. Walt Williams Dr. Name of Board: Applic t Name: 1a Lr\ Home Address: Mailing Address: city: State: .Scve Hem’Telephone: Other Telephone: E-mail address: Are you currently employed by Nye County: If yes, which Department: I have attached my resume/letter of interest: Yes LI No Yes LI No ISI’ Please provide a brief description of your qualifications, experience, or interests that would be considered an asset to this Board: T , OL.t4 € ?\oy&e / / / A( /i7/’ 4 ôuy 4)r I certify that am a QUALIFIED ELECTOR, that I MEET STATUTORY REQUIRMENTS of the Board area to which I am PP ra/,)4c1at t7Anformation is true and accurate to the best of my knowledge. 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 IUOO 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 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 Pahrump, NV 89048 (775) 727-5107 Nye County Administration 2100 Walt Williams Dr. Pah rump, NV 89048 (775) 751-7075 c7Ya%’ ,Ccs-1’7 s Date: Nye County is an Equal Opportunity Employer and Provider