CITY OF BOCA RATON APPLICATION FOR APPOINTMENT MARINE ADVISORY BOARD

The Marine Advisory Board makes recommendations to the City Council regarding the proper management, use, and regulation (by the appropriate federal, state and /or local agency) of Boca Raton waterways. This board consists of eight (8) qualified electors of the City.

NAME:*    HOME ADDRESS:*

CITY:*    ZIP CODE:*

E-MAIL:*    BUSINESS NAME:

OCCUPATION:    BUSINESS ADDRESS:

HOME PHONE:*    BUS. PHONE:

CELL PHONE:

ARE YOU A REGISTERED BOCA RATON VOTER?*


HOW LONG HAVE YOU RESIDED IN BOCA RATON? YEARS  MONTHS
ARE YOU A VENDOR OR DO YOU WORK FOR A VENDOR OF THE CITY OF BOCA RATON?*


ARE YOU A LOBBYIST OR DO YOU WORK FOR A LOBBYIST AS DEFINED IN THE PALM BEACH COUNTY LOBBYIST REGISTRATION ORDINANCE?*

HAVE YOU ATTENDED ANY BOCA RATON COUNCIL OR ADVISORY BOARD MEETINGS?*


  

I AM APPLYING FOR APPOINTMENT TO THE MARINE ADVISORY BOARD (Please check appropriate box or boxes):

One member shall be affiliated with the Boca Raton Coast Guard Auxiliary (Describe your affiliation)

Two members shall be recreational boaters (State type of boat and where stored)

One member shall be an owner of single-family residence adjacent to an inland waterway (which residence shall be the owner’s primary residence) and the owner may be a boater or non-boater. (Name adjacent waterway)

One member shall be a unit owner in a condominium adjacent to an inland waterway (which unit shall be the owner’s primary residence), and the unit owner may be a boater or non-boater. (Name adjacent waterway)

One member shall have experience in marine industries or coastal planning matters. (Describe credentials)

One member shall be licensed by the USCG to operate a commercial or passenger vessel upon the navigable waters of the United States. (Describe credentials, include license number)

One member shall be an environmentalist (Describe credentials)


BRIEFLY DESCRIBE WHY YOU WISH TO SERVE AS A MEMBER OF THIS BOARD
(600 Character limit)  



EDUCATIONAL BACKGROUND
    University attended:
    Degrees received:
    Major area of study:

PROFESSIONAL BACKGROUND/CERTIFICATION:
(600 Character limit)  


Board interviews are conducted at City Council Workshop and Regular Meetings, which are generally held the 2nd and 4th Mondays and 2nd and 4th Tuesdays, respectively, of each month. Workshop Meetings begin following the conclusion of the Community Redevelopment Agency meeting that is scheduled to begin at 1:30 p.m. and Regular Meetings commence at 6:00 p.m. in the City Hall Council Chamber. Applicants are notified of vacancies and interview dates prior to the scheduled interview. Applications are kept on file in the City Clerk's Office for a period of one year. Applicants may supplement their application with a resume or other information relevant to their qualifications.

.

Select your resume: (Resume cannot exceed 2MB file size.)
 


Declaration of Personal Information Exemption

Personal information provided in this application is public information unless the applicant qualifies for an exemption pursuant to Florida Statutes. You are encouraged to thoroughly read the applicable sub-sections of F.S. 119.071. If you qualify for an exemption, please indicate below which statutory provision you are citing for the exemption. If you qualify, your address and phone number are protected information. You may contact the Board Coordinator at 393-7743 if you have any questions.

My address and telephone number are statutorily exempted from public disclosure, pursuant to Section  of Florida Statutes.

Signature

TERMS OF ACCEPTANCE and SIGNATURE

I understand the duties and responsibilities of the board(s) or committee(s) for which I am applying. By signing below, I warrant the truthfulness and accuracy of the information provided in this application, including that applicable to any personal information exemptions.

Signature of Applicant:*
                                               Please type your First and Last Name
Date:*

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.