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City of Boca Raton, FL Boards & Commissions

Application For Appointment

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Profile

Please select a Board

These board-specific questions have been added to your application:

Affordable Housing Advisory Committee
  • In connection with affordable housing, which one of the following would apply to you if you were appointed to the Affordable Housing Advisory Committee? Go to Question
  • Explain your choice: Go to Question
Airport Authority
  • Please Agree with the Following Statement Go to Question
  • Which one of the following would apply to you if you were appointed to the Airport Authority? Go to Question
Police & Firefighters' Retirement System Board
Boca Raton Housing Authority
Builders' Board Of Adjustment & Appeals
Community Appearance Board
  • Please Agree with the Following Statement Go to Question
  • Which one of the following would apply to you if you were appointed to the Community Appearance Board? Go to Question
  • Describe credentials and include license number: Go to Question
Downtown Boca Raton Advisory Committee
  • Which one of the following would apply to you if you were appointed to the Downtown Advisory Committee? Go to Question
  • Name and address of property, business or store: Go to Question
Executive Employees' Retirement Plan
General Employees' Pension Board
Sustainability Advisory Board
  • Which one of the following would apply to you if you were appointed to the Green Living Advisory Board (at least 5 members shall be residents of the city; 2 members may be owners or employees of businesses withn the city but need not be residents of the city)? Go to Question
  • Name and address of business: Go to Question
Historic Preservation Board
Marine Advisory Board
  • Which one of the following would apply to you if you were appointed to the Marine Advisory Board? Go to Question
  • Explain your choice: Go to Question
Planning And Zoning Board
Special Magistrate
  • Which one of the following would apply to you if you were appointed as a Special Magistrate (must be a retired Florida judge or be a member in good standing of the Florida Bar, with practice substantially in the area of administrative, governmental, zoning, land use or real estate law)? Go to Question
  • Florida Bar Number: Go to Question
Permitting And Construction Review Board
  • Which one of the following would apply to you if you were appointed to the Permitting and Construction Review Board? Go to Question
  • State License or Certification Number: Go to Question

NOTE: It is the preference of the City Council that applicants attend at least one meeting of the board(s) to which they are seeking appointment.

Question applies to multiple boards

Please Agree with the Following Statement *

You agree that members of this board are required to comply with Florida Statutes regarding filing a Statement of Financial Interests.

Interests & Experiences

Educational Background:

Are you registered in the State of Florida? *
Are you licensed in the State of Florida? *
Do you hold a Certificate of Competency? *
Do you possess a City of Boca Raton Business Tax License? *

Ethics Questions

Are you a registered City of Boca Raton voter? *
Are you a vendor or employed by a vendor of the City of Boca Raton? *
Are you a lobbyist or employed by a lobbyist as defined in the Palm Beach County Lobbyist Registration Ordinance? *
Have you attended any Boca Raton City Council or advisory board meetings? *
Have you been convicted of a felony? *
Do you have any criminal charges pending? *
Do you have any relatives employed by the City? If yes, please state the name(s) of your relative(s) and their position(s) with the City? *
Are you aware of any potential conflict of interest (including, without limitation, any potential voting conflicts or potential prohibited conflicts) that may arise from your serving on the City board or committee to which you are seeking appointment? If yes, please explain: *
Do you, any member of your immediate family, your employer or your business (or any entity in which you have a controlling interest) currently have any contractual relationship with, or do any business with, the City, or has there been any such relationship/business within the past 5 years? *
Do you (or any entity in which you have a controlling interest) have any delinquent accounts with the City or owe any monies to the City? *
Do you (or any entity in which you have a controlling interest) have any pending code enforcement cases or unpaid, certified code enforcement fines relating to property in the city that is owned or rented by you (or any entity in which you have a controlling interest)? Do you (or any entity in which you have a controlling interest) have any pending code enforcement cases or unpaid, certified code enforcement fines for any other violations relating to other city codes? *
Have you ever been found to have violated, or had a complaint filed against you alleging a violation of, the Florida Code of Ethics for public officers and employees, Palm Beach County Code of Ethics (or any other ethics code)? *
Has any license, certification, registration, or permit to practice any regulated profession, occupation, vocation, or business that you hold (or have held) been the subject of an investigation or complaint filed within the past 5 years, or is there any such investigation or complaint now pending? *
Has any license, certification, registration, or permit to practice any regulated profession, occupation, vocation, or business that you hold (or have held) been denied, revoked, annulled, suspended, restricted, relinquished, surrendered, or otherwise disciplined within the past 15 years? *
Have you (or any entity in which you have a controlling interest) been the subject of an investigation or complaint filed with a federal, state or local agency, licensing entity, or other regulatory organization within the past 5 years, or is there any such investigation or complaint now pending? *
Has any judgment or decree of a court been entered against you (or any entity in which you have a controlling interest) within the past 15 years related to a state license, certification, registration, or permit to practice any regulated profession, occupation, vocation, or business that is required for your appointment or listed on your application, or is there any such case or investigation pending? *

  • Accepted file types: RTF, DOC, DOCX, PDF, TXT, JPG, JPEG, GIF, PNG

IMPORTANT: Please note that the above-required responses/disclosures are intended to assist the City Council in considering an application for appointment/re-appointment to a City board or committee, and will not result in the automatic disqualification from consideration or appointment/re-appointment. Therefore, complete and accurate responses should be provided to the City Council.


Terms Of Acceptance

Board interviews are conducted at City Council Workshop and Regular Meetings, which are generally held the 2nd and 4th Mondays and 2nd and 4th Tuesdays, respectively, of each month. Workshop Meetings begin following the conclusion of the Community Redevelopment Agency meeting that is scheduled to begin at 1:30 p.m. and Regular Meetings commence at 6:00 p.m. in the Auditorium at 6500 Congress Avenue, Boca Raton FL. Applicants are notified of vacancies and interview dates prior to the scheduled interview. Applications are kept on file in the City Clerk's Office for a period of one year. Applicants may supplement their application with a resume or other information relevant to their qualifications.

Declaration of Personal Information Exemption

Personal information provided in this application is public information unless the applicant qualifies for an exemption pursuant to Florida Statutes. You are encouraged to thoroughly read the applicable sub-sections of F.S. 119.0 71.  If you qualify for an exemption, please indicate below which statutory provision you are citing for the exemption. If you qualify, your address and phone number are protected information. You may contact the Board Coordinator at 393-7744 if you have any questions.

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My address and telephone number are statutorily exempted from public disclosure.

Please Agree with the Following Statement *

I understand the duties and responsibilities of the board(s) or committee(s) for which I am applying. By signing below, I warrant the truthfulness and accuracy of the information provided in this application, including that applicable to any personal information exemptions.

Please Agree with the Following Statement *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Special Qualifications

Question applies to Airport Authority
Question applies to Affordable Housing Advisory Committee
Question applies to Affordable Housing Advisory Committee
Question applies to Community Appearance Board
Question applies to Community Appearance Board
Question applies to Downtown Boca Raton Advisory Committee
Question applies to Downtown Boca Raton Advisory Committee
Question applies to Marine Advisory Board
Question applies to Marine Advisory Board
Question applies to Sustainability Advisory Board
Question applies to Sustainability Advisory Board
Question applies to Special Magistrate
Question applies to Special Magistrate
Question applies to Permitting and Construction Review Board
Question applies to Permitting and Construction Review Board

Please fill out all required fields and correct any errors before submitting.

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