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Application for Board Vacancy

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Step One

APPLICATION FOR BOARD VACANCY
Please complete the following application and attach a resume or biographical data sheet.
Please select which Board(s)/Committee(s) you are interested in serving on:
1. Board of Adjustments
2. Business Advisory Board
3. Code Enforcement Board
1. Parks & Recreation Advisory Board
2. Planning & Zoning Board
3. Police Pension Board
NAME
ADDRESS
PHONE
CITY/STATE
WORK PHONE
EMAIL ADDRESS
CELL PHONE
PLACE OF EMPLOYMENT
ADDRESS OF EMPLOYMENT
OCCUPATION
EDUCATION
REFERENCE 1: NAME & ADDRESS
PHONE
REFERENCE 2: NAME & ADDRESS
PHONE
REFERENCE 3: NAME & ADDRESS
PHONE
The City Council of West Melbourne is responsible for reviewing and selecting the Board Member to fill the appropriate vacant positions.
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