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Application for Boards, Authorities, and Commissions - City Council Appointment

  1. This application will be utilized in considering you for appointment to a City Council board, authority, or commission. Pursuant to Florida Statutes, Chapter 119, all information provided on or with this form becomes a public record and is subject to disclosure, unless otherwise exempted by law.

    Completed applications will be kept on file for a period of one (1) year from the date received in the Office of the City Clerk.

    It is necessary to contact a member of Council to obtain a nomination in order to be placed on the ballot for consideration. Please go to cityofpensacola.com/council for Council Member contact information. If you have any questions, contact the City Clerk’s Office.

    The Florida Constitution, in section 5 (a) of Article II, prohibits simultaneous “dual office holding”. If you were already serving on a board, authority, or commission for the City of Pensacola or for another governmental agency, would you be willing to resign in order to accept the appointment you now seek?

  2. In order to encourage diversity in selections of members of government committees, the following information is required by Florida Statute 760.80 for some committees.

  3. I hereby certify that the statements and answers provided are true and accurate. I understand that any false statements may be cause for removal from a board or committee if appointed.

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  5. This field is not part of the form submission.