Application for Advisory Board/Committee

Please Note:
Committee Application Type
Which type of board/committee are you applying for?

What is the name of the board/committee you are applying for? 
 
Personal/Contact Information
Name:
First: MI: Last:
Address:
Street: Apt:
 
City: State: Zip:
Phone:
Home: ( )
Business: ( ) Ext:
E-mail:
Occupation:
Misc Info:
 
Location/Residence Information
Do you reside within the corporate limits of the City of Gainesville?
 
Demographic Information (Voluntary)
Race:


 
Sex:
 
Experience/Background Information
Are you a City of Gainesville Employee?  
If yes, what Department do you work for?  
Are you a City of Gainesville Intern?  
If yes, what Department do you work for?  
Are you Currently on a City Advistory Board/Committee?  
If yes, what Advistory Board/Committee?
Training/Experience related to Board(s)/Committee(s) to which appointment is being sought:
Educational Background:
Professional Organizations:
References(include full name and telephone number):
 
City Commission Relation/Contact Information
Are you a relative* of a member of the City Commission?
Please indicate any contact made with City Commission members concerning this application.
  Appointment Telephone E-mail Other
Mayor Braddy:
At-Large Commissioner Hawkins:
At-Large Commissioner Poe:
Dist. 1 Commissioner Hinson-Rawls:
Dist. 2 Commissioner Chase:
Dist. 3 Commissioner Bottcher:
Dist. 4 Commissioner Wells:
*Section 112.3135, Florida Statues defines "relative" as the following: "...an individual who is related to the public official as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, or half sister."