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2. (In order to serve on these Boards, you must be a resident of the City.)
4. Date*
   Date
6. First Name*
7. Last Name*
9. Email Address*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
19. Briefly describe your education and experience*
21. Attach Resume, or Additional Information (Optional)
23. Are you a registered voter?*
    -- Select One --YesNo
24. Are you a resident of the City of Oviedo?*
    -- Select One --YesNo
26. Do you own property in the City?*
    -- Select One --YesNo
27. Do you own a business in the City?*
    -- Select One --YesNo
29. Are you employed by the City?*
    -- Select One --YesNo
31. Are you currently serving on a City Board?*
    -- Select One --YesNo
32. If so which one?
34. Have you previously served on a City Board?*
    -- Select One --YesNo
35. If so which one(s)?
37. Please Select the Board(s)/Committee(s) you are interested in serving on:*

    1. Police Officers Pension Board
    2. Fire Pension Board
    3. Land Planning Agency (LPA)

    1. Public Arts Board
    2. Sustainability Task Force
    3. Any Board or Committee
39. What Qualifications Would you Bring to this Board or Committee if Appointed?*
41. City of Oviedo Boards and Committees
43. Local Planning Agency

    The Local Planning Agency was established by Ordinance 1626 and is seated for a two-year term. Meetings occur on the 1st and 3rd Tuesday of the Month at 6:30 pm. The Function of the Local Planning Agency is to Consider Comprehensive Plan amendments, Land Development Code amendments, Zoning Map amendments, deviations to Land Development Code standards, special exception use orders, preliminary subdivision plans, planned unit developments, development agreements, and appeals about building permits.

45. Police Officers Pension Board

    The Police Officers Pension Board was established by Ordinance 1680 and members are seated for a 4 year term. The Police Officers Pension Board administers the system and serves as the trustee of the fund. The Board meets as called.

47. The Firefighters Pension Board

    The Firefighters Pension Board was established in 1681 and members are seated for a 4 year term. The function of the board is to administer the system and serve as trustee of the fund. The Board meets as called.

49. Public Arts Board

    The Public Arts Board members are seated for 3-year terms. Meetings occur Wednesdays as called. The function of the Public Arts Board is to make recommendations to the City Council regarding works of art for display at City facilities and regarding programs and facilities which further promote the development of arts within the City. Board members are not required to file a Form 1.

51. Members of these boards are required to complete FORM 1 - LIMITED FINANCIAL DISCLOSURE within 30 days of appointment with the Seminole County Supervisor of Elections. Thereafter, you are required to file by July 1st following each calendar year in which you hold your position. FORM 1 requirements are set forth fully on the form. In general, this includes the reporting person's sources and types of financial interests, such as the names of employers and addresses of property holdings. NO DOLLAR VALUES ARE REQUIRED TO BE LISTED. In addition, the form requires the disclosure of certain relationships with, and ownership interest in, specified types of businesses such as banks, savings and loans, insurance companies, and utility companies. Upon leaving the position, you must file FORM 1F-FINAL DISCLOSURE STATEMENT with the Seminole County Supervisor of Elections within 60 days of leaving the position.

53. Electronic Signature
55. 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. 4) you understand the responsibilities associated with being a board/committee member and have adequate time to serve on these boards/committees. 5) I have read and understand the information as stated above.

    1. I agree.
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57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field