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2. City of St. Cloud Committee Online Application Form
4. Date*
   Date
6. Last Name*
7. First Name*
8. Middle Name
10. Date of Birth*
    Date of Birth
12. Phone #*
13. Cell Phone #
14. Email address*
16. Physical Address*
18. City*
19. State*
20. Zip Code*
22. Mailing Address if different from above
24. City
25. State
26. Zip Code
30. Committee(s) desired in order of preference: (Do not write "ANY")
32. Boards and Committees List and Criteria
    Click here
34. 1st choice

    1. Economic Development Advisory Committee
    2. Finance Committee
    3. Historic Preservation Board
    4. Recreation Advisory Committee

    1. Planning Commission
    2. Tree Advisory Committee
    3. Zoning Board of Adjustment
36. 2nd choice

    1. Economic Development Advisory Committee
    2. Finance Committee
    3. Historic Preservation Board
    4. Recreation Advisory Committee

    1. Planning Commission
    2. Tree Advisory Committee
    3. Zoning Board of Adjustment
38. 3rd choice

    1. Economic Development Advisory Committee
    2. Finance Committee
    3. Historic Preservation Board
    4. Recreation Advisory Committee

    1. Planning Commission
    2. Tree Advisory Committee
    3. Zoning Board of Adjustment
40. * Please list committee if other is selected
44. Employer*
46. Address*
48. City*
49. State*
50. Zip*
52. Education
54. High School
55. Years Completed
56. Degree
58. College
59. Years Completed
60. Degree
62. Other
63. Years Completed
64. Degree
68. NOTE: Please answer question 1 & 2 ONLY if you are applying to the CRA Board.
    Eligibility criteria for appointment to the Community Redevelopment Agency: Any person may be appointed as commissioner if he or she resides or is engaged in business, which means owning a business, practicing a profession, or performing a service for compensation, or serving as an officer or director of a corporation or other business entity so engaged, within the area of operation of the agency, which shall be coterminous with the area of operation of the county or municipality, and is otherwise eligible for such appointment under this part. (FS 163.356)
70. 1. Do you reside within the boundary of the CRA ?

    1. Yes
    2. No
71. CRA Map
    CRA Map
73. 2. Do you engage in business in the CRA district?

    1. Yes
    2. No
77. GENERAL INFORMATION SECTION
79. 1. Are you a City of St. Cloud resident (inside the City limits)?*

    1. Yes
    2. No
81. 2. Are you registered to vote in Osceola County?*

    1. Yes
    2. No
83. 3. Do you own property or a business in St. Cloud?

    If neither apply skip to question 4

    1. Property
    2. Business
84. Is this property or business located within the boundary of the CRA?

    1. Yes
    2. No
86. Location of Property or Business
88. 4. Are you currently serving on a City board?*

    1. Yes
    2. No
89. If yes, which one?
91. 5. Have you ever served on a City Board?*

    1. Yes
    2. No
92. If yes, when and which board?
94. 6. Have you attended the City of St. Cloud Citizen’s Academy?*

    1. Yes
    2. No
96. If not, would you be interested in attending?

    1. Yes
    2. No

    If yes, we will advise you when the next program is offered.
98. 8. How long have you lived in Central Florida?*
102. EXPERIENCE: Due to their unique functions, some boards/committees seek certain fields of expertise from prospective members. Please check any of the following criteria relevant to your work experience (This information only applies to certain boards/committees):

     1. Building Contractor
     2. Fire Safety
     3. Business Owner
     4. Architect
     5. Subcontractor
     6. Historian

     1. Engineer
     2. Law
     3. Licensed Real Estate
     4. Landscape Architect
     5. Electrician
     6. Commercial Finance or Investment Counseling
104. List any professional licenses/certificates you hold and attach copies:
108. List hobbies, interests, and/or community activities:
112. REFERENCES: (Please include name, address, and phone number)
114. 1.*
116. 2.*
118. 3.*
120. A resume or additional information is preferred. Please do not attach any documents that can lead to identity theft for example: Drivers License, Social Security numbers, etc.
122. I understand the responsibilities associated with being a Board member and I have adequate time to serve on the board(s). APPLICATIONS WILL BE KEPT ON FILE FOR 1 YEAR
124. First Name*
125. Last Name*
126. Date
     Date
128. If you have any questions please contact:

     City Clerk’s Office 1300 9th Street Building A, 3rd floor, St. Cloud, FL 34769 Email: Stacey.wilde@stcloudfl.gov Phone: 407-957-7388 Fax: 407-957-7385

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130. 1. Receive an email copy of this form.
131. Email address

     This field is not part of the form submission.

132. Submit

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