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2. Instructions
   Interested in being a member of the Board? follow these steps: 1. Read the authorizing legislation. 2. Review the materials on the Planning and Zoning Board webpage. 3. Attend a Planning and Zoning Board meeting (every month on the 2nd Monday at 7:00pm). 4. Ensure you meet the residency requirement. 5. Submit the application and include your resume. All applications will expire on December 31st of each year. Applicants are responsible for reaching out to Clerk’s office to ensure the application is still on file, and if they would like their application to be considered for other Board vacancies.
4. Read the Board's authorizing legislation
   Here's the link to the Planning & Zoning Board's Legislation. ULDR Art. 130, Div 1.
5. Check out the Boards web page
   Planning & Zoning Board web page
7. Date*
   Date
9. First Name
10. Last Name
12. Email Address
13. Alternate Email Address
15. Phone Number
16. Alternate Phone Number
18. Address1
20. Address2
22. City
23. State
24. Zip Code
26. Which area of the City do you reside?
    -- Select One --WestCentralEast

    The City will strive to achieve representation from all geographic areas of the City on its Boards
28. Length of Residence in Wilton Manors
30. Years*
31. Months*
33. Length of Business Ownership in Wilton Manors
35. Years*
36. Months*
38. Proof of Identity*
    Please upload a copy of proof of identity (drivers' license, state id or passport)
40. OPTIONAL: Do you consider yourself to be a member of a community or group of people who are underrepresented? If yes, please identify:
42. Description of Qualifications

    Please provide a brief statement outlining your qualifications to serve on the Board

44. Resume or CV
    Upload your resume here.
46. Graduated from Island City University

    1. Yes
    2. No
48. Where did you hear about this Board Opportunity?
52. Disclosures
    Please answer yes or no. If yes, please provide a full explanation in the space provided.
54. Relatives*
    Do you have any relatives currently employed by the City of Wilton Manors?
55. Conflicts*
    Are you aware of any potential conflict of interest that may arise from your serving on City of Wilton Manors Boards and committees? If yes, please explain.
57. Code Compliance*
    If you own property in the City of Wilton Manors, do you have any pending code violations and/or unpaid code fines related to such property? If yes, please list.
58. Relationship with Planning and Zoning Board Members*
    Do you have a relationship with any other Planning and Zoning Board member?
60. Delinquency*
    Do you have any unpaid or delinquent accounts, water bills, etc. owed to the City of Wilton Manors? If so, please list.
61. Felony*
    Have you been convicted of a felony in the last 15 years, or have any felony charges pending?
63. Final Disclosure*
    Is there anything else you would like to disclose?
67. Certifications*

    Please affirm and acknowledge that you understand and agree to the following (mark each box):

    1. I have read Sec. 130-010, creating the Planning and Zoning Board, and understand the responsibilities, requirements and rights of the Planning and Zoning Board.
    2. I have read and understand the attendance policies
    3. I understand that in accordance with Florida Sunshine Law, this information becomes public record and may be subject to public review.
    4. If appointed, I agree to faithfully and fully perform the duties of my appointment, will make every endeavor to serve my full term, and will comply with all laws and ordinances of the City.
    5. If appointed, I agree to faithfully comply with all laws and ordinances of Broward County, State of Florida, particularly those pertaining to the standards of conduct for public officers.
    6. I further agree to take the applicable statutory oath. I understand that if appointed, I must take the oath of office prescribed in the Florida statutes.
    7. Misrepresentation of any information or qualifications given on this application may cause automatic removal from this Board.
69. Civility Statement*

    The following Civility Statement has been set by the City to ensure a respectable exchange among residents and the City. The statement is a pledge of commitment to the following principles for civility: Respect the right of all Americans to hold different opinions Avoid rhetoric intended to humiliate, delegitimize or question the patriotism of those whose opinions are different from ours Strive to understand the differing perspectives Choose words carefully Speak truthfully without accusation and avoid distortion Speak out against violence prejudice and incivility In all forms whenever and wherever they occur

    1. I Agree
71. Next Steps
    After submitting your application, call the Wilton Manors City Clerk. They will let you know when the City Commission will consider the candidates for appointment to the vacancy. Plan on speaking briefly at the Commission meeting about your desire to serve and qualifications. City Clerk's Office 954-390-2128.
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73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit

* indicates a required field