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Application-Catania, Louis J. CARAC, CEB, CDB 12/190/12 CITY OF ATLANTIC BEACH BOARD/COMMITTEE MEMBER APPLICATION FORM Received Please check(1)the box beside each Board or Com reithea}you are applying to serve on. If you check more than one,please rank your interest in each board/committee by order of priority. DEC 2 0 2012 (A summary of each board/committee is available on page 2 of this form.) 2 Code Enforcement Board 3 Community DevelcaVileiftg4 Pension Board of Trustees Board Member Review Committee Cultural Arts and Recreation Advisory C ittee'i Clerk DATE: 12/19/2012 APPLICANT'S NAME: Louis J. Catania ADDRESS: 2279 Seminole Road #4, Atlantic Beach, FL 32233 DAYTIME PHONE: 904 616-7800 EVENING PHONE: 904 616-7800 E-MAIL ADDRESS: Icatania @bellsouth.net FAX: Please explain any employment experience,board/committee experience, and/or community volunteer experience relative to the board/committee applying for. I have resided in Atlantic Beach for 19 years. My professional career included 44 years as a health care professional, health care administrator, author, researcher, educator and international lecturer. While living in NY and PA, I served and volunteered on health, recreational, political and cultural boards. I have recently semi-retired (contnue to consult) and having a deep respect and fondness for our wonderful community of AB and in gratitude for my good life, I would like to `give back' in some way. 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 believe my professional and volunteer service experience would be directly applicable to the Boards I have identified. Also, I feel my interest in outdoor activities, physical fitness, athletics, education (I am a volunteer professor at UNF) and my love of the arts might qualify me for a variety of potential COAB needs. 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