2. All applicants must reside in the City of Miramar, unless otherwise stated in the City Code, and may belong to only 1 Advisory Board at a time. Applications not submitted online must be typed or printed and completed in full. Additional information may be attached to the printed forms.
   
   The City Code Section 2-53, requires that all adult candidates for Board Appointment must be registered voters. Please have a voter's registration card and if returning the application by mail, include a photocopy of your voter's registration card with the application.
   
   Advisory Board applications will be kept on file for 1 year only. After its expiration, you will have to re-submit a new application.
4. Salutation
   -- Select One --Mr.Mrs.Ms.MissDr.Prof.
6. Name
8. Primary Phone
9. Secondary Phone
11. Email
13. Address
15. City
16. State
17. Zip Code
19. City Resident

    1. Yes
    2. No
20. Registered Voter

    1. Yes
    2. No
22. Choice of Board or Committee
24. 1st Choice*
    -- Select One --None1. Affordable Housing Advisory Committee2. BID Construction & Professional Svcs. Advisory Board3. Blasting Citizen Advisory Committee4. Civil Service Board5. Consolidated Retirement Plan 6. Cultural Center Arts park Advisory Board7. Economic Development Advisory Board8. Education Advisory Board9. Elderly Affairs Advisory Board (MUST be 55 years & older):10. Firefighter Pension Board11. Historic Miramar Advisory Board12. Parks & Recreation Advisory Board13. Planning and Zoning Board14. Police Pension Board15. RBG Commission on the Status of Women16. Sister Cities Board17. Teen Council Advisory Board18. Trust Fund Pension Board
26. 2nd Choice*
    -- Select One --None1. Affordable Housing Advisory Committee2. BID Construction & Professional Svcs. Advisory Board3. Blasting Citizen Advisory Committee4. Civil Service Board5. Cultural Center Arts park Advisory Board6. Economic Development Advisory Board7. Education Advisory Board8. Elderly Affairs Advisory Board (MUST be 55 years & older)9. Firefighter Pension Board10. G.E. Pension Board11. Historic Miramar Advisory Board12. Management Pension Retirement Plan Board13. Parks & Recreation Advisory Board14. Planning and Zoning Board15. Police Pension Board16. RBG Commission on the Status of Women17. Sister Cities Board18. Teen Council Advisory Board
28. 3rd Choice*
    -- Select One --None1. Affordable Housing Advisory Committee2. BID Construction & Professional Svcs. Advisory Board3. Blasting Citizen Advisory Committee4. Civil Service Board5. Cultural Center Arts park Advisory Board6. Economic Development Advisory Board7. Education Advisory Board8. Elderly Affairs Advisory Board (MUST be 55 years & older)9. Firefighter Pension Board10. G.E. Pension Board11. Historic Miramar Advisory Board12. Management Pension Retirement Plan Board13. Parks & Recreation Advisory Board14. Planning and Zoning Board15. Police Pension Board16. RBG Commission on the Status of Women17. Sister Cities Board18. Teen Council Advisory Board
30. Qualification / Educational Background
    Briefly describe your specific expertise and/or abilities relevant to your board choice(s) in place of these directions. Your input is limited to 255 characters.
32. Community / Civic Organization You Are Affiliated With
    List the organization name, years of service(i.e. 2001-2002), and offices held (i.e. Chair, Member), in place of these directions. Your input is limited to 255 characters.
34. Acknowledgement
    I understand that in accordance with the Florida Sunshine Law, this information may be made public. If appointed, I agree to faithfully and fully perform the duties of my office and will comply with all laws and ordinances of the City, County, and State of Florida. Particularly those pertaining to the conduct of public officials and the financial disclosure requirements.
36. 1. Acknowledgement is required for board position by checking box.
38. Additional Documents
    Upload any additional information.
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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