Application- Johnson, Brian CARAC 3-7-17 1
CITY OF ATLANTIC BEACH
BOARD / COMMITTEE MEMBER APPLICATION FORM
Please check (4) 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
Pension Board of Trustees Board Member Review Committee
Cultural Arts and Recreation Advisory Committee
DATE: Mar 7, 2017 APPLICANT'S NAME: Brian D. Johnson
ADDRESS: 1805 Sea Oats Dr., Atlantic Beach FL 32233
DAYTIME PHONE: 571-839-7253 EVENING PHONE: 571-8394253
E-MAIL ADDRESS: brianjohnson65@aol.com FAX:
Please explain any employment experience, board/committee experience, and/or community volunteer experience
relative to the board/committee applying for.
-Retired Air Force Colonel with 26 years of active duty service
-Board member of Atlantic Beach Experimental Theatre (ABET)
-Hundreds of volunteer hours for North Florida community theatre (set construction, stage management, theatre renovation)
-Recurring participant in several local community art activities (Art Walk, Songwriter's Night, Acoustic Night)
-Community theatre actor with several local credits (ABET, Players by the Sea, Theatre Jax, Limelight Theatre)
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.
As a retired AF officer and new member of our local community, I'm excited for the opportunity to give something back.
I feel it's incredibly important members of our local community have access to the arts at all levels and of aH types.
Having been involved in community art programs for the past 7 years, I feel I would make a positive contribution on behalf
of the citizens of Atlantic Beach.
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.
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