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2. City of Lighthouse Point Board/Committee Application
   Service on a City Board provides citizens with an opportunity to help shape policy and direction for the City of Lighthouse Point. Residents are cordially invited to complete an application for a position on a City Board or Committee. When a position becomes available, all applicants for that Board or Committee will be submitted for consideration. Applicants may be considered for more than one Board and/or Committee, however, once appointed will not be considered for future vacancies unless requested by applicant. All applicants must reside within the City of Lighthouse Point.
4. *Per Section 112.317 Florida Statutes, Members of certain Boards are required to file a Financial Disclosure Report
6. Please check the Board(s)/Committee(s) for which you wish to be considered:*

   1. Keeper Day Committee
   2. Code Enforcement Board*
   3. Community Appearance Board
   4. Personnel Appeals Board*
   5. Planning and Zoning Board*
   6. Library Advisory Board
   7. Marine Advisory Board
   8. Tennis Advisory Committee
   9. Recreation/Cultural Arts Committee
8. Personal Information
10. Name*
11. Telephone*
13. Address*
15. City*
16. State*
17. Zip Code
19. Email*
23. Education
25. Name and Location of High School*
27. Name and Location of College*
29. Years Completed
30. Degree
31. Field of Study
33. Other professional or technical training (Name of school, course name, etc.)
37. Employment
39. Current Employer/Business Name*
40. Position*
42. Submit Resume
44. Other Qualifications
46. Briefly describe any specific expertise and/or abilities that would pertain to your service on a City Board or Committee
48. Memberships
50. Completion of this section is optional. Please list any Lighthouse Point Organizations you have held, if any. Please include years of membership and office held.
54. Acknowledgement
    I understand that in accordance with the Florida Sunshine Law, the above stated information is considered a public record. I understand that appointment to any of the positions indicated above is a voluntary service and not compensated. If appointed, I agree to faithfully and fully perform the duties of my office, will make every endeavor to serve my full term, and will comply with all laws or ordinances of the City, County, and State of Florida, particularly those pertaining to the conduct of public office and the financial disclosure requirements, if applicable to my position. I further agree to take the statutory oath. I understand that if appointed, I must take the oath of office prescribed in the Florida Statutes.
56. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
58. Electronic Signature*
60. In accordance with the State of Florida General Records Schedule GS1-SL, Committee/Board applications are retained for 3 fiscal years. Non-selected applications are retained for 4 anniversary years.
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62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field