Application- McMillan, Hollie CARAC 8-3-10 CITY OF ATLANTIC BEACH
BOARD / COMMITTEE MEMBER APPLICATION FORM 81 3 / 10
Please check 0/) 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
V Cultural Arts and Recreation Advisory Committee
DATE: APPLICANT'S NAME: Q t e MCA
ADDRESS: 1 ittrkfle_TAI
DAYTIME PHONE: qcq- 23 EVENING PHONE: `104 l3 0 60 223 -2
E -MAIL ADDRESS: h(Oar€C,om ne, FAX: `i . 0 1 -4 , - 2i-I J
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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 reasonsp
for wishing to be appointed to this board /committee. back
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Please return complete4 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.
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