City of Sunny Isles Beach Board/Committee Application

NOTE:

Board/Committee Members are appointed by the members of the City Commission.
Board/Committee Members shall be subject to the Sunshine Laws of the State of Florida.
Board/Committee Members who miss three consecutive meetings may be removed from office.
Board/Committee Members shall be subject to the Financial Disclosure Requirements of the State of Florida.

For proper consideration and review of your application, please be as thorough as possible.

I. Applicant Information

Application For:

Appointment

Reappointment

Phone Number

Fax

Do you reside in Sunny Isles Beach all twelve months of the year?

Yes

Have you ever been convicted for a violation of any federal, state, county, or municipal law, regulation, or ordinance? Please do not include traffic violations.

Yes

Please briefly describe.

What is your highest level of education?

If you are still in school, please indicate your current grade level as well as the name and telephone number of the school you are currently attending.

Have you ever served on an advisory committee with the City before?

Yes

Please describe your involvement.

Which committee are you interested in serving on?

Please describe any relevant experience that will contribute to this committee. (Please include any relevant certifications, licenses, or training that you possess.)

Do you do business or are you engaged in the management of any business enterprise that has a financial interest with the City of Sunny Isles Beach?

Yes

What is the name of the entity you are engaged with?

What is your position or your relationship with this entity?

What is the nature of the business that you are engaged with?

Would you authorize the City of Sunny Isles Beach to perform a background check if needed for participation in this committee? Committee members working with minors would be required to complete a background check.

Agree

Disagree

References

Please do not include more than one family member.

Name *

Occupational Title *

Relationship *

Address *

Email Address *

Phone *

Name *

Occupational Title *

Relationship *

Address *

Email Address *

Phone *

Name *

Occupational Title *

Relationship *

Address *

Email Address *

Phone *

Attachments

Resume

Click Here to Upload

Letter of Interest

Click Here to Upload

Certifications/Licenses/Trainings

Click Here to Upload

II. Oath and Signature

I understand that in accordance with the State of Florida Government in the Sunshine Law, this information may be made public. I understand that all board/committee appointments are for voluntary, uncompensated services, and that I will be subject to the Financial Disclosure requirements of the State of Florida.

Signature of Applicant

First Name

Last Name

Choose how to sign

Draw Type

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