Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

2019 Volunteer Board Appointment Application

  1. 2019 Volunteer Board Appointment Application

    This Application Form is a PUBLIC RECORD under Chapter 119, Florida Statutes, and is open to public inspection.

  2. If you are interested in serving on an appointed City Board, Commission or Committee, please complete this form in its entirety.

  3. Street Address (No P.O. Boxes)

  4. Street Address (No P.O. Boxes)

  5. Please include highest level achieved and any degrees earned as well as any professional licenses or vocational certificates, etc.

  6. Please check the Board(s) you are interested in serving on*

  7. THIS APPLICATION IS ONLY EFFECTIVE UNTIL 12/31/2019. Please call, write or email the City Clerk’s Office to advise of any changes. Applications are submitted to the City Commission when vacancies occur throughout the year. If you are not selected by 12/31/2019, you will need to fill out a new application to be considered in 2020.

  8. Board Members serve at the pleasure of the City Commission and may be removed with or without cause upon motion and majority vote of the City Commission. Your signature below waives any right under Florida Statutes Section 112.501 to removal for cause and a hearing before removal.

  9. All Boards and their members must function in accordance with provisions of the City Charter, City Code and Florida Laws, including GOVERNMENT IN THE SUNSHINE and the requirement for financial disclosure for certain boards. I understand the responsibilities associated with being a Board member, and affirm that I have adequate time to serve on the above board(s).

  10. CERTIFICATE OF APPLICANT: I hereby certify that all the statements made on this Volunteer Board Application Form are true and correct. I understand that any false statements or omissions from this Volunteer Board Application form may be cause for my application not to be considered by the City Commission.

  11. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  12. Electronic Signature*

  13. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

  14. Leave This Blank:

  15. This field is not part of the form submission.