Town of Davie, FL - Board Volunteer Form

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Agricultural Advisory Board		Planning and Zoning Board/Local Planning Agency•
	Airport/Transportation Advisory Board		Police Employees Pension•
	Budget Advisory Committee		Senior Citizens Advisory Committee
	Community Redevelopment Agency•		Site Plan Committee•
	Fire Employees Pension•		Unsafe Structures Board•
	Open Space Advisory Committee		United Ranches Preservation Board
	Parks & Recreation Advisory Board		Youth Education & Safety Advisory Board

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required
Address:		required
City:		required
State:		required
Zip:		required
Phone:		required
Alt Phone:		required
Fax:
Organization:

Please provide any background information (business, personal, educational, civic) that might be useful in considering your application.

This application form, when completed and filed with the Town Clerk's Office, is a public record under Chapter 119, Florida Statutes, and therefore, open to public inspection by any person.

Anyone appointed to a board must be a registered voter and a copy of the voter's registration is required to be provided to the Town Clerk's Office.

Membership on the above listed board's/committee's denoted with a dot (•) requires that a Financial Disclosure Form be filed annually with the Supervisor of Elections on or before July 1st of each year.