Application - Gebeaux, Tracy ARCC 1-27-23 CITY OF ATLANTIC BEACH
BOARD / COMMITTEE MEMBER APPLICATION FORM
Please check(V) the box beside each Board or Committee for which you are applying.
❑ Board Member Review Committee(BMRC) 0 Community Development Board(CDB)
01 Cultural Arts &Recreation Advisory Committee (CARAC) 0 Environmental Stewardship Committee(ESC)
❑ Pension Board of Trustees (PBOT)—Police 0 Pension Board of Trustees(PBOT) -General
DATE: 1,k1AQ 'LI , 2 23
APPLICANT'S INFORMATION:
FIRST NAME:1 Ribq E LAST NAME: ekEBEA )(
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CELL PHONE: C1 — �� —\C]? 4 HOME PHONE:
PRECINCT/DISTRICT: E-MAIL ADDRESS:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
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Please provide a brief explanation of your interest and your reasons for wishing to be appointed to this
board/committee.
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PLEASE NOTE: This application will expire two (2) years after date of submittal.
Please return completed form to
Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
Rev. 2-13-20 Page 1 of 2