Item 10AAGENDA ITEM k l0A
FEBRUARY 25, 2008
CITY OF ATLANTIC BEACH
Board Member Review Committee (BMRC)
Created by Resolution No. 05-04 on April 11, 2005; Amended by Resolution No. 06-03 on Feb. 13, 2006
Total of Six Members (5 voting members 8 1non-voting member)
Commissioner member- 1 year term- no term limit; City Manager member- term as long as employed; Two
Citizen Members- 2 year teen- 2 teem limit; Chairman of the board or committee for which vacancy is
currently being considered; City Clerk non voting member.
NAME & ADDRESS POSITION/ BUSINESS HOME /CELL /
EXP. DATE EMAIL
Mike Borno CHAIR N/A (904) 246-9383 Home
223 Ocean Forest Dr. N. Commission Member (904) 607-3256 Cell
Atlantic Beach, FL 32233 Regular Voting Member
1~` Term exp. 12/01/08
Glen Fisher Citizen Member (904} 633-6300 (904) 246-9365
2001 Mipaula Court Regular Voting Member FisherG@nfl jaguars.com
Atlantic Beach, FL. 32233 1~ Term exp. 3/27/08
VACANT Citizen Member
Regular Voting Member
3/27/08
Chairperson of Related Board Board/Committee Chair Varies Varies
or Committee being addressed Voting Member
No expiration
Staff Liaison for Related Attends meeting to provide Varies Varies
Board or Committee being information to applicants being
addressed interviewed and to the BMRC
members
No expiration
Jim Hanson City Manager (904) 247-5806 jhanson@coab.us
(904) 247-5805
Fax
Donna Bussey City Clerk/Recording Secretary (904) 247-5809 dbussey@coab.us
(904) 247-5846 Fax
All Offici$1 Correspondence Should Be Mailed to:
800 Seminole Road
Atlantic Beach, FL 32233
Email: dbussey@coab.us
F.•ICity ClerklComm., Bds. & CommitteeslBoard Member Review Committee 1-18-08.doc
AGENDA ITEM # l0A
FEBRUARY 25, 2008
C1T~' OF :~"i'LA~TIC SE:aCH
BO:~RD / CO.tiltilIT"I'EE ~lEti1BEIl .-~PI'i.fC:~T10`J f~OR:~1
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Plea~~ check (~) beside each Board or Committee that you are applying to servt, an: ,~~~
(:~ summary of each board;committee is available an pa~ze 2 of this form.) : ~-.~ " ~' ~~'
- Cade Enforcement Board (~~ Cori~inity Development Board
_ Pension Board of Trustees ~~ Tree Conservation Board
_: Cultural Arts and Recreation Advisory Committee l~ Board Member Review Committee
APPLICANT'S NAIv1E: ~F? ('('`/ ,,r%,., ,~~~~
ADDRESS: .~ ~ ~ ~ ~~~~. l,~C.~ ~M ~~~rz (~? ~ i l . .~~~L- J~~~ ~~
DAYTIME PHONE: ~ f ~~~` f~SY EVENING PHONE:
E-MAIL ADDRESS:.,~~,~~Sr~ {'s' ~~ FAX:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for. _
Please provide a brief explanation of your interest or ::ny special-qualifications you have in this field and your reasons
for wishing to be appointed to this boardlcommittee.
~~ -~ 1 ~:: ~~-, ..,n w~
Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 3223
S5~ ~~ ~, r~~ ~ ~ ice! E`~ ~ ~~..- ~' ~,4 ~- ~'~ ~ r. ~` 2~1 A-~ i one ~'o y~Yl~ lM ~~~ s,
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• CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION FORM
m Chi
Please check (~ the box beside each Boazd or Committee that you are applying to serve on. If you check more than
one, please rs~nk your interest in each board /committee by order of priority. ~ a
(A summary of each boazd/committee is available on page 2 of this form.) N
N ~
^ -Code Enforcement Board ^ _ Community Development Board 8 a
^ _ Pension Board of Trustees ^ _ Tree Conservation Board
^ _ Guttural Arts and Recreation Advisory Committee ^ ~ Board Member Review Committee
DATE: Z- 13. O $ APPLICANT'S NAME: eJ p ~~~, t M~ S~ t Ti•{
ADDRESS: ~ ~ Oc.EgN Sc~~ PR .
DAYTIME PHONE: 2-t"16' S 6 ~O EVENING PHONE: ~J d q• 110 a
E-MAIL ADDRESS: J/ M P ,s'~eCyd'•C~ ~~ . ht's FAX: Z U 6- 6 7So
Please explain any employment experience, boazd/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 or any special qualifications you have in this field and your reasons
for wishing to be appointed to this boazd/committee.
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t3~s~ oN f~~z' ~b ,a~t'~'
Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
PLEASE NOTE: This application will expire two (2) years after date of submittal.