HomeMy WebLinkAboutcocc_cls_agenda_pkt_20201001 CULTURE AND LEISURE SERVICES BOARD
Cape Canaveral City Hall
1OOPolk Avenue
October 1, ZOZO
5:3O P.M.
Forvievving/participating in the Meeting remotely via GoToVVebinar:
Register at: 14299220495.
Listen at: +1 (562) 247-8422; Attendee Access Code: 948-046-726
AGENDA
CALL TO ORDER:
ROLL CALL:
PUBLIC PARTICIPATION:
Any member of the public may address any items that do not appear on the agenda and any
agenda item that is listed on the agenda forfinal official action bythe Culture and Leisure Services
Board, excluding public hearing items which are heard at the public hearing portion of the
meeting, ministerial items/e.g, approval ofagenda, minutes, information items) and quasi-judicial
or emergency items. Citizens are encouraged to limit their comments to three /3> minutes. The
Cu|tureandLeisureServices8oardvvillnottakeanyactionunderthe ^PublicPorticipotion^ section
of the agenda. The Culture and Leisure Services Board may schedule items not on the agenda as
regular items and act upon them inthe future.
ACTION ITEMS:
5:30 p.m. —5:5J)p.nn.
1. Approve minutes from meeting held on February 27, ZOZO.
Z. Interview Board Applicant: Anthony DiVito.
STAFF REPORTS:
5:50p.m. -6/0p.m.
1. Gustavo Vergara: Leisure Services
Z. Molly Thomas: Cultural + Community Affairs
ADJOURNMENT:
Pursuant to Section 286-0105, Florida Statutes, the City hereby advises the public that: |faperson
decides to appeal any decision made by the Culture and Leisure Services Board with respect to
any matter considered at this meeting, that person will need a record of the proceedings, and for
such purpose that person may need to ensure that a verbatim record of the proceedings is made,
which record includes the testimony and evidence upon which the appeal is to be based. This
notice does not constitute consent by the City for the introduction or admission into evidence of
otherwise inadmissible or irrelevant evidence, nor does it authorize challenges or appeals not
otherwise allowed by law.
In accordance with the Americans with Disabilities Act: all interested parties may attend this Public
Meeting. The facility is accessible to the physically handicapped. Persons with disabilities needing
assistance to participate in the proceedings should contact Nina Parlapiano, City of Cape
Canaveral Leisure Services (868-1226) 48 hours in advance of the meeting.
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CITY OF CAPE CANAVERAL
APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARD OR COMMITTEE
Pursuant to Section 2-171, Cape Canaveral Code
City,Code requires prospective and existing board members to fill out an application. City Code also
prohibits a person from serving on a City Board or Committee if that person has been convicted of a
felony, unless their civil rights have been restored.
Please complete the following in the space provided:
A. GENERAL a
1. Applicant Name: n1zh2a6 U J 7 n__Cr74
2. Home Address: F_!Z/6 OQQ A-V PRA z-
3. Home and Cellular Telephone:
4. Occupation: &Tn ✓,&0
5. Business Telephone: W A
6. Business Address: /``y A
7. E-Mail: Com. G \ \J /1)4�L , �e� ✓yJ
B. ELIGIBILITY r
The information provided in this section is for purposes of determining whether you are eligible to serve
on a City advisory board or committee.
1. Are you duly registered to vote in Brevard County? (Y) L--�(N)
2. Have you been a resident of the City of Cape
Canaveral for 12 months or longer? (Y) ✓ (N) /
3a. Are you a Business owner: (Y) (N)
3b. If yes to 3a, please list the name:
4a. Have you ever been convicted or found guilty, regardless
of adjudication, or a felony in any jurisdiction?Any plea
of nolo contendere (no contest) shall be considered a
conviction for purposes of this question. (Y) (N)
4b. If yes to 4a, have your civil rights been restored? (Y) (N)
5a. Do you presently serve on any other City of Cape
Canaveral advisory board or committee? (Y) (N)
5b. If yes to 5a, please list each:
Page 1 of 3
6. City ordinance requires that all persons applying for a
City advisory board or committee must voluntarily consent
to a standard criminal background check before being
appointed to a board or committee. Do you voluntarily initials
consent to having a standard background check
performed on you by the City of Cape Canaveral? (Y) (N)
7a. Are you related to a City of Cape Canaveral Council
member by blood, adoption, or marriage? (Y) (N) r/
7b. If yes to 7a, please provide name(s) of person(s) and relationship to you:
C. INTERESTS/EXPERIENCE
1. Briefly state your interest in serving on a City advisory board or committee:
0-10-Mtnu,4j ) J4U'VUtVc1-r,, 6zAj-7— A-6 - A� �Adevr�
2. In numerical sequence (1 = most interested), please rank which advisory board or committee
on which you wish to serve:
a. Board of Adjustment*
b. Business and Economic Development Board
C. Code Enforcement Board*
d. / Community Appearance Board
e. Construction Board of Adjustment and Appeals*
f. Culture and Leisure Services Board
g. Library Board
h. Planning and Zoning Board*
L Other:
*Members of these boards are required to complete and file with the supervisor of Elections a Financial
Disclosure Form upon appointment to said board and prior to July 1 of each year following the initial
appointment while still a member of said board.
3. Briefly state any prior experiences in serving on any governmental board or committee:
IV 1A
4. Please list any specialized skills and training (e.g., architect, engineer, general contractor, etc.)
thaatqu feel help to qualify you for membership on the desired board or committee.
IA
D. STATE REPORTING REQUIREMENTS
Section 760.80, Florida Statutes, requires that the City annually submit a report to the Secretary of State
disclosing race, gender, and physical disabilities of board and committee members. Please check the
appropriate boxes:
Page 2of3
RACE GENDER
African-American ✓ Male
Asian-American Female
Hispanic-American Not Known
Native-American
Caucasian DISABILITY
Not Known Physically disabled
YOU HEREBY REPRESENT TO THE CITY OF CAPE CANAVERAL, UNDER PENALTY OF
PERJURY, THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND ACCURATE TO THE
BEST OF YOUR KNOWLEDGE,AND THE CITY OF CAPE CANAVERAL HAS THE RIGHT TO RELY
ON THAT INFORMATION.
YOU HEREBY ACKNOWLEDGE THE EXISTENCE OF THE CODE OF ETHICS FOR PUBLIC
OFFICERS [SECTIONS 112.311-326, FLORIDA STATUTES] AND THE FLORIDA "SUNSHINE
LAW" [SECTION 286.011, FLORIDA STATUTES], WHICH MAY PERTAIN TO YOU IF YOU ARE
APPOINTED TO A CITY ADVISORY BOARD OR COMMITTEE, AND IF APPOINTED, IT IS YOUR
SOLE OBLIGATION AND DUTY TO COMPLY WITH SUCH LAWS.
PLEASE NOTE:
• Appointment to any City board is subject to City Council approval following a brief interview
before the City Council at a regularly scheduled meeting.
• Your application will remain effective for one year from date of completion.
• If you should have any questions regarding the completion of this application, please contact
the City Clerk's Office at (321) 868-1220 ext. 221.
Signature: Date: s'� /��
Please return to: City o ape Canaveral
Office of the City Clerk
105 Polk Avenue
Cape Canaveral Florida 32920
For Office Use Only:
Date application received:
Date Appointed:
Appointed by:
Board Appointed to:
Term Expires:
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