Section 1 of 1 in this document

City of Sunny Isles Beach Historic Preservation Board Application

NOTE:

Board Members are appointed by the members of the City Commission.
Board Members are subject to the provisions of Chapter 171 of the City's Code of Ordinances.
Board Members shall be subject to the Sunshine Laws of the State of Florida.
Board Members who miss three consecutive meetings may be removed from office.
Board 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.

Please be sure to type out your information into each field.

DO NOT USE AUTOFILL TO COMPLETE ANY FIELD.

I. Applicant Information

Application For:

Appointment

Reappointment

Phone Number

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 describe briefly.

What is your highest level of education?

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

Yes

Please describe your involvement.

Please list your profession and briefly describe any relevant experience that will contribute to this board. (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

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City of Sunny Isles Beach Historic Preservation Board Application

I. Applicant Information

Application For:

Full Name

Full Address

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

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.

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

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?

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.

Attachments

Resume

Letter of Interest

Certifications/Licenses/Trainings

II. Oath and Signature

Signature of Applicant