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Emerald Hills Safety Enhancement District Board Interest Form
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District # You Live In.
Owner or Renter
Number of years as city resident
Are you registered to vote in Broward County?
-- Select One --
Education (highest degree / level)
How many elections have you voted in and when was the last time you voted?
How many City Commission or board meetings have you attended in the last 2 years? Please list:
Why do you wish to serve as a member of the Emerald Hills Safety Enhancement District Board?
If appointed, what specific contribution(s) will you bring to the Emerald Hills Safety Enhancement District Board?
Please describe your qualifications as an applicant including your professional and/or volunteer experience or background.
Do you currently serve on any City or County boards or committees? Please list.
Have you ever served on any City or County advisory boards? Please list.
List community / civic service involvement.
I acknowledge that if appointed to serve, I will be required to file the Statement of Financial Interest Disclosure Form 1, as required by Florida Statute 112.314(1)(a).
Attach Resume (only .doc and .pdf files)
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