Melbourne Beach, Florida - Online Board/Committee Volunteer Application

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Online Board/Committee Volunteer Application


	NOTE: Persons appointed to certain Town boards must file a financial disclosure form with the Supervisor of Elections and the Florida Commission on Ethics. If you have any questions please call the Town Clerk's office at 724-5860

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Audit Committee		Board of Adjustment
	Civil Service Board		Code Enforcement Board
	Environmental Advisory Board		History Center Board
	History Preservation Board		Parks Board
	Planning and Zoning Board		Police Pension Fund Board of Trustees

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required
Home Address:
Home Phone:
Business Name:
Business Phone:
Date of Birth (to verify voter registration):

Are you a qualified elector of the Town?

Field Data
Yes No

Are you a resident of the Town?

Field Data
Yes No

Do you reside in the Town at least ten months of each calendar year?

Field Data
Yes No

Do you currently hold any public office?

Field Data
Yes No

Resume of Education and Experience

Do you currently service on any Town boards? If so, please list.

Why do you think you are quailfied to serve on this board?

Would you consider serving on another board other than the one(s) selected above?