APPLICATION QUESTIONNAIRE FOR COUNTY APPOINTMENTS

Please complete the application in its entirety. Incomplete applications will not be considered for appointment.

Information from this questionnaire will be used by the Board of County Commissioners of Hillsborough County when considering appointments to Advisory Boards and Councils

Citizens interested in being considered for appointment must submit an essay of 200-500 words highlighting what your goals would be as a member of the Diversity Advisory Council and state why you believe that you are most suited to carry forth those goals. Applicants declining to submit an essay will be eliminated from further consideration for service on the Diversity Advisory Council of Hillsborough County. Applicants must also submit a Standards of Conduct Form.

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NOTE: Are you or your spouse's home address, phone number, place of employment, or date of birth exempt from public disclosure under Chapter 119, Florida Statutes (the Public Records Law)? *

Board of Interest *

Diversity Advisory Council

Position Applying For *

Personal Information

Last Name *

First Name *

Middle Name

Email *

Phone Number *

Residential Address

Street *

P.O. Box/Suite

City *

State *

Zip *

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