Applicant Information For Prospective Appointees to Broward County Boards
Your answers to the following questions will not necessarily qualify or disqualify you from potentially serving on a Board.
First Name
Last Name
Street Address
City
State
ZIP
Telephone
Email
Occupation
Number of Years in Occupation
Employer
Are you a registered voter in Broward County?
Yes
No
Are you a permanent resident in Broward County?
Yes
No
Do you live in the District of your appointing County Commissioner?
Yes
No
Are you a registered lobbyist in Broward County?
Yes
No
Which advisory board, authority, agency, council, or committee are you interested in serving?
--- Select an option ---
Advisory Board for Individuals with Disabilities
Affordable Housing Advisory Committee
Animal Care Advisory Committee
Bicycling and Pedestrian Advisory Committee
Board of Rules and Appeals
Broward County Housing Authority
Broward County Planning Council
Broward Cultural Council
Broward League of Cities
Broward Regional Emergency Medical Services Council
Broward Regional Health Planning Council
CareerSource Broward
Central County Community Advisory Board
Central Examining Board of Electricians
Central Examining Board of Engineered Construction Trades
Central Examining Board of General Construction Trades
Central Examining Board of Liquefied Petroleum Gas Contractors
Central Examining Board of Mechanical Contractors
Central Examining Board of Plumbers
Children's Services Board
Children's Services Council of Broward County
Climate Change Task Force
Cocomar Water Control District Advisory Board
Commission on the Status of Women
Community Action Agency Advisory Board
Community Redevelopment Agency
Consumer Protection Board
Courthouse Task Force Advisory Committee
Early Learning Coalition Inc.
Educational Facilities Authority
Fire Rescue Council
Florida Association of Counties
Florida Atlantic Research and Development Authority
Greater Fort Lauderdale Alliance
Health and Sanitary Control Board
Health Facilities Authority
Hillsboro Inlet District
Historic Preservation Board
HIV Health Services Planning Council
Homeless Continuum of Care Board
Housing Council
Housing Finance Authority
Human Rights Board
Independent Transportation Surtax Oversight Board
Intergovernmental Emergency Coordinating Council
Juvenile Justice Board
Legal Aid Service and Coast to Coast Legal Aid
Library Advisory Board
Living Wage Advisory Board
Marine Advisory Committee
Medical Marijuana Advisory Board
Metropolitan Planning Organization
North Perry Airport Community Advisory Committee
Parks and Recreation Advisory Board
Performing Arts Center Authority
Pompano Beach Residential District Advisory Board
Public Safety Coordinating Council Advisory Board
School Oversight Committee
Small Business Development Advisory Board
South Florida Regional Planning Council
South Florida Regional Transportation Authority
Substance Abuse Advisory Board
Tourist Development Council
Transportation Management Association
Unsafe Structures Board
Urban Wilderness Advisory Board
Value Adjustment Board
Water Advisory Board
Water Control District # 2
Water Control District # 3
Water Control District #4
Are you currently serving on another advisory board, authority, agency, council or committee (city or county)?
Yes
No
Are you currently an elected or appointed official of a state, county, or any municipal government, special district, or other public board?
Yes
No
Are you related (i.e. familial or in a business relationship) to a Broward County Commissioner?
Yes
No
Are you currently employed by or under contract with an entity that is regulated by the board to which you seek appointment or Broward County?
Yes
No
Are you currently employed by or under contract with an entity that is doing business with the board to which you seek appointment or Broward County?
Yes
No
Please state your qualifications, or copy and paste your resume, for appointment to this board. (If you are unsure about the qualifications for the board, please contact the Intergovernmental Affairs/Boards Section 954-357-7575 or by email at boards@broward.org).
I certify that I have disclosed any contractual or employment relationships with entities that are regulated by or are doing business with either the board to which I seek appointment or Broward County. I further acknowledge that, if appointed to serve on a Broward County board, authority, agency, council, or committee (collectively "board"), I have an ongoing obligation to inform the Intergovernmental Affairs/Boards Section and my Board Coordinator of any changes to the information I have provided in this form. Failure to comply with this obligation may result in violations of applicable law for which I may be subject to monetary penalties and removal from office.
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