Application-Garrard, Cris CARAC 2-8-08CITY OF ATLANTIC BEACH
BOARD /COMMITTEE MEMBER APPLICATION FORM
Please check (~) 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 ^ Tree Conservation Board
~ ~ Cultural Arts and Recreation Advisory Committee ^ Board Member Review Committee
DATE: Z- ~- O APPLICANT'S NAME:
ADDRESS: 3~~, "[ t~ ~T .
DAYTIME PHONE: ~'4~/ . ~7. ~96C~ EVENING PHONE: 9C>~ . g~?. ~96~
E-MAIL ADDRESS: Cf'iS~0.~~~~c1J ~,rv+a,''I, Coen FAX:
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.
Donna L. Bussey, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233
PLEASE NOTE: This application will expire two (2) years after date of submittal.
Please explain any employment experience, board/committee experience, and/or community volunteer experience
Please return completed from to