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2. Preference
   View the City Advisory Boards and Commissions page for board/commission descriptions
4. Please check the Board/Commission you are interested in serving on (Max 2):*

   1. Lakes Advisory Board
   2. Parks and Recreation Advisory Board
   3. Planning and Zoning Commission
   4. Police Officers and Firefighters Pension Trust Fund Board
   5. Transportation Advisory Board
6. First Name*
7. Last Name*
9. Email Address*
11. Home Address*
13. City
14. State
15. Zip Code
17. Phone Number (include area code)*
19. Why are you interested in serving on a Board/Commission?*
21. Please describe any other relevant experiences or education:
23. Are you a City of Maitland resident?*

    1. Yes
    2. No
25. If Yes, how long?*
27. Are you a registered Orange County voter?*

    1. Yes
    2. No
28. Do you own property in Maitland?*

    1. Yes
    2. No
30. Do you own a business in Maitland?*

    1. Yes
    2. No
31. Are you currently serving on a City board?*

    1. Yes
    2. No
33. Are you or an immediate family member employed by the City of Maitland?*

    1. Yes
    2. No
35. If Yes, please provide name:*
37. Important Information
    1. Certain advisory boards, committees, and commissions have specific membership requirements including a valid voter registration card, financial disclosure and/or the submission of other information.
    2. Attendance is required at advisory board meetings. Excessive unexcused absences, as prescribed by each board, may be grounds for removal.
    3. Florida has a broad public records law. Pursuant to Ch. 119, F.S., the personal information provided in this application will become a public record upon submission to the City. If you qualify for exemption from public disclosure under the terms of this statute, please notify the City Clerk at (407) 539-6219.

    I hereby certify that all statements and information provided in this application are true to the best of my knowledge.

    I understand that inclusion of any false information may be cause for disqualification and that the City of Maitland retains sole authority to issue such disqualification.

    I have reviewed the responsibilities associated with being a board member and agree that I have adequate time to serve if appointed.

39. Acknowledgement*

    1. Check to acknowledge you have read and fully understand the above information.
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41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field