Application- Dattilo, Jesse CARAC 2-28-08CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION FORM
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Please check (~ beside each Board or Committee that you are applying to serve on: ;- ;:.~ ~ ? R ~~~f~
(A summary of each board/committee is available on page 2 of this form.)
^ Code Enforcement Board ^ Community Development Board
^ Pension Board of Trustees ^ Tree Conservation Board
Cultural Arts and Recreation Advisory Committee ^ Board Member Review Committee
APPLICANT'S NAME:
ADDRESS:
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DAYTIME PHONE: ~ ~ ~~~~ "
~~~ EVENING PHONE: ~~' ~ < < ~ Cv
E-MAIL ADDRESS. _ t ., ~ ` ~ ~( ~ FAX:
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 or any special qualifications you have in this field and your reasons
for wishing to be appointed to this board/committee.
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Please return completed form to
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
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