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Application- Burch, Bob CARAC 2-29-16 CITY OF ATLANTIC BEACH BOARD / COMMITTEE MEMBER APPLICATION FORM Please check (si) the 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 board/committee is available on page 2 of this form.) Code Enforcement Board Community Development Board 1 Pension Board of Trustees Board Member Review Committee Cultural Arts and Recreation Advisory Committee DATE: 2/27/2016 APPLICANT'S NAME: Bob Burch ADDRESS: 157 Belvedere St. DAYTIME PHONE: 9048536662 EVENING PHONE: 9048536662 E-MAIL ADDRESS: bob.burch @comcast.net FAX: Please explain any employment experience, board/committee experience, and/or community volunteer experience relative to the board/committee applying for. Employment Experience: Duval County Elementary School Teacher and Contract Administrator for Deprartment of Health Community Volunteer Experience: Current Beaches Museum and History Park(BMHP)Docent and community events volunteer Community Volunteer Experience: BMHP committee member on "Waiting for the Train"permanent exhibit Community Volunteer Experience: BMHP committee member on "History of Mayport Naval Station"exhibit Community Volunteer Experience: Current BMHP commitee member developing "History of Mayport Village"exhibit Community Volunteer Experience: Annual exhibit at Beaches Public Library of"The Road to Victory in WWII" 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 board/committee. I have a BA in History from Jacksonville University and enjoy promoting the history and culture of our area beaches. I am an active biker, kayaker, and walker of the Atlantic Beach area and its surrounding city, state,and national parks. Atlantic Beach has a rich culture and history that needs to be celebrated and promoted to its citizens and visitors. Life long resident of Jacksonville and home owner of Atlantic Beach for 13 years. Member of Community Presbyterian Church, Beaches Watch, and St.Johns River Keeper. Extensive experience evaluating contracts and their results Please return completed form to Donna L. Bartle, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233 PLEASE NOTE: Members of the Code Enforcement Board, Community Development Board and Pension Board of Trustees are required to file Statement of Financial Interest Forms. Also, information regarding "Conflict of Interest" is provided on page two of this application. This application will expire two (2) years after date of submittal. 1