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Citizen Board Application Form

This form is to be used to notify the City of Winter Park City Manager's Office that you are interested in serving on a city board.

If you would prefer to print and fax this form, please click here to download the application in PDF format. The fax number to send your application is 407-599-3436. To submit the form electronically, please continue below. Thank you.

Contact Information (bolded fields are required)

First Name:
Last Name:
E-mail:
Home Address:
Home City:
Home State:
Home Zip:
Home Phone:
Business Address:
Business City:
Business State:
Business Zip:
Business Phone:

Your Requested Board(s)

Please list in order of your preference, the board(s) for which you are submitting this application and the special skill(s) that would be beneficial in serving on said board. Note: The functions and requirements of each board are listed on pages 3 and 4 of the printable application form.

Board 1:
Skills:
Board 2:
Skills:
Board 3:
Skills:

Your Details

Are you a registered voter?
Are you a resident of the city?
Do you own property in the city?
Do you hold a public office?
Are you employed by the city?
May we automatically submit your application when vacancies occur?
Do you have any potential conflicts of interest that may arise from time to time if you serve on one of these boards?*
Are you currently serving
on a city board(s)?
Have you previously served
on a city board(s)?
List any other community involvement:
List any work/career experience:
List your educational experience:
 

 

Contact Information

City Manager's Office p: 407-599-3236 f: 407-599-3436

* Conflict of interest A conflict of interest would be anything that inures to your benefit, your employer’s benefit or a member of your family’s benefit.

For example: You are applying for a Planning & Zoning Board appointment and are an architect or attorney that may occasionally represent a client with a project before the board. Note: Having a potential conflict of interest does not necessarily exclude you from serving on a board.