Application for Charter Review Board

Application for Charter Review Board
THIS APPLICATION MUST BE COMPLETED BY APPLICANTS FOR THE FOLLOWING BOARD:
CHARTER REVIEW BOARD

Please complete all information. The form must be signed and dated.

Applications will be submitted to the City Commission for consideration of appointment.

A resume, letters or other pertinent information may be attached to this application and all information will be forwarded to the members of the City Commision.
Applicant Name*

First NameLast Name
Email*
example@example.com
Applicant City Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Occupation/ Position
Employer
Education
Training/ Experience
Professional Organizations
Please state why you are interested in serving on the Charter Review Board. *
PLEASE INDICATE ANY CONTACT MADE WITH CITY COMMISION MEMBERS CONCERNING THIS APPLICATION: (phone call, meeting, fax, etc.)
Commissioners
District*
Please indicate which district you reside
Are you a relative of a member of the City Commission?
Section 112.3135, Florida Statutes defines "relative" as "an individual who is related to the public official as father, mother, son, daughter, sister, brother, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, or half sister.
Signature*
Date of Application*

MonthDayYear
Date
Should be Empty: