The City of Jacksonville appreciates your interest in serving on a City Advisory Board or Committee. Please review the Qualifications for Service and Advisory Board Descriptions and then complete all sections of this application.
List your board / committee interest in priority order. You may express interest in up to two committees but may serve on only one.
If yes, please enter 'yes' and your initials in the box provided indicating your interest and that you have read the description of the Leadership Development Program
If yes, please enter 'yes' and you initial in the box provided indicating your interest.
Please describe your current and past Civic or Community involvement.
Please describe special talents, experience, education, or training that you feel qualifies you for service on the selected board or committee.
By my signature, I certify that the facts contained in this application are true and correct to the best of my knowledge. I understand and agree that any misstatement could result in removal from any board or committee to which I am appointed. I understand that appointment interviews are a part of the appointment process and I agree to participate in such interview.
I acknowledge that as an advisor to the mayor and Council of the City of Jacksonville, my past and present actions impact the city, its reputation, and image. I certify that nothing in my past or current life is of a nature that would bring embarrassment or reflect negatively upon the city. Furthermore, I understand that any action, whether criminal or personal, which would bring or potentially bring a negative image or reflection to the City of Jacksonville will result in my removal from my position as an advisor to the City Council.
I understand that this application is a public record.
Enter your name in the box provided. This is your electronic signature.
This field is not part of the form submission.
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