Create a Website Account - Manage notification subscriptions, save form progress and more.
If you are submitting an application to serve as the Interim Council Member for District 2, a resume must be uploaded below.
All of the above boards / commissions are subject to the “Sunshine Law”, Chapter 286, F.S.
* Members of these boards / commissions are required to file financial disclosures within 30 days of date of appointment.
A physical address is needed to verify City residence eligibility.
Additional information may be included, if necessary.
I understand the responsibilities associated with being a board member, and I have adequate time to serve if appointed.
By submitting this application, applicant attests that he/she has reviewed the Code of Ethics for Public Officers and Employees (Part III of Chapter 112, Florida Statutes), and that applicant does not hold any public position, employment or other relationship (i.e. dual office holding prohibition, conflicting employment or contractual relationship, etc.) that would prohibit or otherwise disqualify applicant from serving on the City board/commission for which the applicant now seeks to serve.
Note: If you are unsure whether a Code of Ethics issue exists or require assistance determining if a Code of Ethics issue is present, feel free to reach out to the City Attorney’s Office prior to submitting your application at (386) 506-5525.
All statements and information provided in this application are true to the best of my knowledge. Please note that Florida has a broad public records law. Your entire application and the information & responses contained therein, including your name, address, email, and phone number, will become a public record upon submission of the application to the City. In limited circumstances, certain public servants who are afforded protections pursuant to Ch. 119, F.S. may elect to have certain information exempted from public disclosure, upon written request. *
Note: If you have questions concerning the duties and responsibilities of any of the above Boards / Commissions, please contact the City Clerk's Office at [email protected] or 386-506-5563.
This field is not part of the form submission.
* indicates a required field