ALACHUA COUNTY CITIZEN ADVISORY BOARD APPLICATION
Under Florida law, all information, including e-mail, written letters, documents and phone messages, sent to the Alachua County Board of County Commissioners is subject to Public Records law. This includes the sender's e-mail address, home address or phone number if shown in the message, the content of the message and any associated attachments to the mail. If you are exempt from aspects of the public records law pursuant to F.S. 119.071, contact the advisory board coordinator at 352-264-6904 prior to submission of this form.

After submitting your application you will be provided an opportunity to save your application in a pdf file.
If you have additional information, such as a resume, you will be provided the address to mail your information to.

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Name of Advisory Board/Committee: Land Conservation Board
Applying For: Natural Resource Professional
First name:    Mi:  
Last name:      Suffix:   
Address:  
City:  Zip Code:  
E-Mail Address:    
Home Phone:   
Work Phone:     Ext.   
Occupation:  
Place of Employment:  
Education:
(500 characters allowed)
 
Professional Organizations:
(500 characters allowed)
 

Age:  (Some committees/boards require 60 year age minimum for appointment)
OPTIONAL - CHECK THE RACE/ETHNIC GROUP WITH WHICH YOU IDENTIFY:(This information helps us provide diversity on our advisory boards)
Are you a resident of Alachua County?
If yes, how long?  
If no, what county?  

Are you currently serving or have you ever served on an Alachua County advisory board?
If yes, please list board(s):

Civic and Professional Accomplishments/Honors:
(2000 characters allowed)
 
Training or Experience Related to this Appointment:
(2000 characters allowed)
 
What Contributions do you feel you could make if you were selected to this board? (2000 characters allowed)  

 
Some of the boards and committees appointed by the County Commission are required to comply with Chapter 112, Florida Statutes, the Financial Disclosure Law. If applicable, would you be willing to file the required financial statement?

Appointees to advisory board/committees are required to attend scheduled meetings as specified in the "Guidelines for Citizen Advisory Boards and Committees".

 
Do you affirm that your personal and business (if applicable) affairs within Alachua County are in substantial compliance with all county regulatory and taxing authorities rules and regulations?

APPLICATIONS WILL BE KEPT ON FILE FOR ONE YEAR.

If you have a disability and need an accommodation in order to participate in a County program, service or public meeting, please contact the Equal Opportunity Office at 352-374-5275 at least 2 business days prior to the event. TDD users, please call 711 (Florida Relay Service).