CAB Application

Community Advisory Board

Please complete the form below to apply for a position on the Community Advisory Board. If you have any questions please call or email Rodney Jacobs at 305-960-4951, rjacobs@miamigov.com
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*
Gender
Employer*
Job Title
List any organizations or boards you are affiliated with and potion(s) held. *
Are you Currently Employed by the City of Miami? If yes, describe employment. *
What special knowledge, experience or skills would you hope to contribute to the board?*
Would employment, family obligations or other commitments make it difficult for you to attend one or two evening meetings per month?*
Email Address*
Phone Number*

Area CodePhone Number
Upload Resume*

Upload a File

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Community Advisory Board