HomeMy WebLinkAboutDowning Application 1987CITY OF CAPE cANAVERAL
QUALIFICATIONS FOR SERVING ON CITY BOARDS
1. Name kk ‘CI)
2. Home Address: 9,k\ (.,ok;,Ar S\
3. Business:
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4. Office Address:
5. Brief Resume of Education and Experience:
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6. Are you a registered Voter?
7. Resident of City for 12 months or
8. Do you hold a public office?
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Yes
longer? Yes vr. No
Yes No
Home Telephone: )EL-1-
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Business Telephone: RG.-7-31-/c1
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9. Are you employed by the City? Yes
No
No
10. At the present time, do you serve on a City Board? Yes
No
11. Name of City Board You Are Interested In Serving On: (Specify Preference)
(lst, 2nd, 3rd, etc.)
Beautification Board
Board of Adjustment*
Code Enforcement Board*
Library Board
Planning and Zoning Board*
Recreation Board
12. Qualifications to serve on this Board:
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13. Would you consider serving on another Board other than the one you
selected above?
Yes
Signature:
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NOTE: (1) Application effective foe year from date of completion.
(2) If you have any questi s on the above, please call the
office of City Clerk, Telephone 783-1100
*Financial Disclosure Form must be completed each year, prior to July 15/
by members of these Boards.
FOR OFFICE USE ONLY:
Appointed to Board on
Term to Expire
(Date)
(Date)