CITY OF WINTER GARDEN - CITY CLERKS OFFICE
300 WEST PLANT STREET - WINTER GARDEN, FL 34787
WWW.CWGDN.COM
BOARDS & COMMITTEES INTEREST
NAME:
HOME ADDRESS: DISTRICT #
PHONE: ALTERNATE:
EMAIL: OCCUPATION:
U.S. CITIZEN? YES NO CITY RESIDENT? YES NO
REGISTERED VOTER? YES NO CITY EMPLOYEE? YES NO
PRIOR BOARD(S) YOU SERVED?
REFERENCE(S):
LICENSE/CERTIFICATION(S)
EDUCATION/EXPERIENCE:
ADDITIONAL CONSIDERATIONS
BOARD(S) OF INTEREST
THANK YOU FOR YOUR INTEREST IN SERVING ON ONE OF THE CITYS BOARD/COMMITTEES.
V
OLUNTEERS LIKE YOU ARE ESSENTIAL TO ENSURING THAT YOUR CITY GOVERNMENT IS RESPONSIVE TO THE NEEDS OF THE COMMUNITY.
PLEASE CHECK ALL THAT APPLY - SEE WEBSITE FOR DESCRIPTIONS
General Employees
Pension Board*
Police & Firefighter
Pension Board*
Community Redevelopment
Agency Advisory Board*
Architectural Review &
Historic Preservation
Code Enforcement Board*
Planning & Zoning Board*
Election Canvassing Board
PLEASE NOTE:
For
ALL VOLUNTEERS MUST ADHERE TO FLORIDA STATE STATUTES AS APPLICABLE TO CONFLICTS OF INTEREST
office use only:
THIS APPLICATION WILL BE SUBMITTED TO THE CITY COMMISSION FOR CONSIDERATION
(*) MEMBERS SERVING ON THESE BOARDS ARE REQUIRED TO FILE AN ANNUAL FINANCIAL DISCLOSURE
THIS FORM BECOMES A PUBLIC RECORD ONCE SUBMITTED TO THE CITY CLERKS OFFICE
QUESTIONS?
CONTACT - CITY CLERKS OFFICE - 407-656-4111 EXT. 2297
E-MAIL: CITYCLERK@CWGDN.COM
APPLICATIONS ARE KEPT ON FILE FOR ONE YEAR AND SUBMITTED FOR CONSIDERATION AS BOARD VACA NCIES OCCUR