Advisory Board Application

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Please correct the field(s) marked in red below:

A City advisory board/committee is created by Ordinance or Resolution adopted by the City Commission and comprised of citizens serving in a voluntary capacity to provide assistance and advice to the City Commission.  Each board provides an annual report to the City Commission.
Choose Board you are applying for:
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Choose Board you are applying for:
NAME:
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HOMEPHONE:
CURRENT MEMBER SEEKING RE-APPOINTMENT?
CURRENT MEMBER SEEKING RE-APPOINTMENT?
HOME ADDRESS:
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ZIP CODE:
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CITY RESIDENT: 
CITY RESIDENT:
CITY VOTING DISTRICT: 
CITY VOTING DISTRICT:
HOW LONG HAVE YOU LIVED  IN SARASOTA?
DO YOU OWN PROPERTY WITHIN THE CITY OF SARASOTA?
DO YOU OWN PROPERTY WITHIN THE CITY OF SARASOTA?
IF YES, ADDRESS:
OCCUPATION:
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NAME OF BUSINESS:
BUSINESS ADDRESS:
BUSINESS PHONE:
IF YOU ARE CURRENTLY SERVING ON A CITY BOARD WHAT IS IT?
RESUME OF EDUCATION AND EXPERIENCE:
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MEMBER OF THE FOLLOWING CIVIC ORGANIZATIONS:
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WHY DO YOU DESIRE TO SERVE ON THE ABOVE BOARD?
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HAVE YOU EVER BEEN CONVICTED OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OFFENSE?
HAVE YOU EVER BEEN CONVICTED OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OFFENSE?
IF CONVICTED OF A FELONY, HAVE YOUR CIVIL RIGHTS BEEN RESTORED?
IF CONVICTED OF A FELONY, HAVE YOUR CIVIL RIGHTS BEEN RESTORED?
PROVIDE DETAILS: 

I UNDERSTAND THAT IF APPOINTED, I WILL SERVE ON THE ABOVE BOARD WITHOUT COMPENSATION AND AT THE PLEASURE OF THE CITY COMMISSION.

PLEASE NOTE:  MEMBERSHIP ON THE FOLLOWING BOARDS REQUIRE THAT AN ANNUAL FINANCIAL DISCLOSURE FORM BE FILED ON OR BEFORE JULY 1ST OF EACH YEAR: BOARD OF ADJUSTMENT, BUILDING BOARD OF RULES AND APPEALS, FIREFIGHTERS, GENERAL AND POLICE PENSION BOARD OF TRUSTEES AND THE PLANNING BOARD/LOCAL PLANNING AGENCY.

APPLICANTS FOR BOARD APPOINTMENTS ARE REMINDED OF THE PROVISIONS OF THE FLORIDA STATUTES AS APPLICABLE TO CONFLICTS OF INTEREST. ALL BOARD APPLICATIONS ARE RETAINED FOR ONE (1) YEAR AFTER THE DATE OF APPLICATION, A NEW APPLICATION WILL BE REQUIRED AT THAT TIME. ATTENDANCE IS IMPORTANT AND BOARD MEMBERS ARE AUTOMATICALLY REMOVED FROM THE BOARD SHOULD THEIR ABSENCES EXCEED 25% OF ALL SCHEDULED MEETINGS, INCLUDING WORKSHOPS, IN A GIVEN YEAR UNLESS THE BOARD, BY MAJORITY VOTE PLUS ONE (1), WAIVES AN ABSENCE.

I HEREBY ACKNOWLEDGE THAT IF APPOINTED I WILL BE ASSIGNED A CITY PROVIDED E-MAIL ACCOUNT. I UNDERSTAND AND ACCEPT THAT, IN ACCORDANCE WITH CITY POLICY AS STATED IN RESOLUTION NO. 10R-2187, ALL E-MAIL CORRESPONDENCE RELATED TO THE BUSINESS OF THE ADVISORY BOARD TO WHICH I AM APPPOINTED MUST BE CONDUCTED ON A CITY ISSUED E-MAIL ACCOUNT.

PLEASE DIRECT ANY QUESTIONS RELATIVE TO FINANCIAL DISCLOSURE AND CONFLICT OF INTEREST TO THE CITY AUDITOR AND CLERK, TELEPHONE NO. (941) 954-4160. SEND COMPLETED FORMS TO:

THE CITY AUDITOR AND CLERK
CITY OF SARASOTA
P.O. BOX 1058
SARASOTA, FL 34230
SUBMITTED BY:
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ON THIS DATE:
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By Submitting, I accept to all the terms and conditions.
  1. To receive a copy of your submission, please fill out your email address below and submit.