Citizen Participation Application
I wish to apply for appointment to the:
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Acosta Creek MSBU Advisory Committee
Affirmative Action Committee
Affordable Housing Committee
Agriculture Advisory Committee
Animal Services Advisory Committee
Antiquated Subdivision Committee
Audit Selection Committee
Better Place Plan Oversight Committee
Budget Review Committee
Contractors & Trades Examiners Board
Economic Development Council
Enterprise Zone Development Agency
Fishing Improvement Committee
GIS Addressing Committee
Greenbelt Advisory Committee
ILE 19 MSBU Advisory Committee
ILE North South MSBU Advisory Committee
Interlachen Boulevard MSBU Advisory Committee
Juvenile Justice Committee
Live Oaks MSBS Advisory Committee
Moores Tr Bumpy Lane MSBU Advisory Committee
MSBU Adjustment Committee
Nursing Home Committee
Ocklawaha Hills MSBU Adjustment Committee
Property Buildings & Surplus Land Committee
Putnam County Citizens Advisory Task Force
Putnam County Development Authority
Putnam County Fair Authority
Putnam County Recreation Committee
Putnam Trail Council
Putnam Clay Flagler Economic Opportunity Council
Radio Communications Committee
Senior Center Advisory Committee
Solid Waste Adjustment Committee
St Johns River Greenprint Stakeholders Steering Committee
St Johns Harbor Unit 3 MSBU Advisory Committee
St Johns River Lower Basin Water Quality Committee
St Johns Riverside Estates RR MSBU Advisory Committee
Tourist Development Council
Value Adjustment Board
West Harbor Farms MSBU Advisory Committee
West Putnam MSBU Advisory Committee
Work Force Consortium
Zoning Board of Adjustment
I understand that if appointed, I will serve in a voluntary capacity on this advisory board.
Are you a registered voter?
In what district do you reside?
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How long have you lived in Putnam County?
What would you hope to accomplish by your participation?
When are you NOT available for meetings?
By my entering my typed signature below, I certify that the information on this application is true and complete. I understand that false statements will be cause for denial of appointment. I also understand that, if appointed, the State of Florida my require me to file a financial disclosure with the Putnam County Supervisor of Elections within thirty (30) days of my appointment, and each year thereafter, covering my term of appointment.