Application- McEvoy, Undine CARAC 6-28-10
CITY OF ATLANTIC BEACH BOARD COMMITTEE MEMBER APPLICATION FORM Please checkJthe box beside each Board or Committee that you are applying to serve on If you check more than one please
rank your interest in each board committee by order of priority A summary of each boardcommittee is available on page 2 of this form Code Enforcement Board Community Development Board
Pension Board of Trustees V Cultural Arts and Recreation Advisory Committee DATE ea s110 ASPPLICANT NAME J0 c ENCVOkLI ADDRESS 1DG0 GasC v I 1 S DAYTIME PHONE 9O c 110 Sag 5 EVENING
PHONE 90k aVi cicoa 4o EMAIL ADDRESS LVA datrMce4 j FAX Ccfcrytk Please explain any employment experience cboommaitrtede experience aonrd community volunteer experience relative to the
cboommaitrtede applying for e ctr 11 CiAVk 00C a S Qa 1 Yr COM W41t L k j r bPofvs tom 1 Of rt rkcPt 0 tss1 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 cboommaitrtede 1jS O CmoilYmt roia 6e r etwev cu wont C1r Z 1 Cam m fiQ r n brac es c v L t 4e uAf I A e k
esr 1 nrN 15 Q 3 S i nce V 6 w i cuy oQ rpfait CA rN di c c n c s aerky cVeii v i cs oc A 1 bpi i e kpe v1e caet 0osZ tf QU eD wrv 14 P Y1Ir up 1eAt ria C 040 Please return completed
form to Donna L Bartle City Clerk 800 Seminole Road Atlantic Beach FL 32233 PLEASE NOTE This application will expire two 2 years after date of submittal 1