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HomeMy WebLinkAboutItem #02 Approval of New Appointment to the Human Relations Diversity Board (3-year terms) ocoee florid° AGENDA ITEM COVER SHEET Meeting Date: December 1, 2015 Item # 2. Reviewed By: /, Contact Name: Kathy Heard Department Director: Beth Ei enber 4` Contact Number: Ext. 1023 City Manager: Robert Fra ///. Subject:;:New Appointment"to the Human Relations Diversity Board (3-year elrms) Background Summary: Members of the Human Relations Diversity Board serve three-year terms. Currently the Human Relations Diversity Board has nine (9) members, and their resolution allows no less than seven (7) members and no more than thirteen (13) members. An application has been received by Paul Hershaw, who has shown an interest in being appointed to the Human Relations Diversity Board for a term ending May 2018. Issue: Should the honorable Mayor and City Commission appoint Paul Hershaw to the Human Relations Diversity Board with a term ending May 2018? Recommendations Staff recommends that the City Commission consider appointing Paul Hershaw to the Human Relations Diversity Board with a term ending May 2018. Attachments: Board List Board Application Financial Impact: None. Type of Item: (please mark with an "x") Public Hearing For Clerk's Dept Use: Ordinance First Reading X Consent,Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda X Commission Approval Discussion&Direction Original Document/Contract Attached for Execution by City Clerk Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. N/A Reviewed by 0 N/A tl O( 0()( florido APPLICATION FOR SERVING ON CITY BOARDS This Applicant Information Form,when completed and filed with the City Clerk's Office, is a PUBLIC RECORD under Chapter 119,Florida Statutes,and therefore,is open to public inspection by any persons. 1. Name: T(,(t,4\ C.(40) E-mail Address: e.C414i,t) e C ,11-. CoM 2. Home Address: t.r►I 5pci�Q- S�- Home Phone: ( t{p1- (q'56 -MO City, State,Zip: t Ft.. 3'l?la I 3. Business: Business Phone: Business Address: 4. Brief Sumim ary of Qualifications and Experience: i f/ A if OCAace Wee W9 Cwurc lq ,f Otcee tcofl4 fs�" panniAl �ub�bn�rnt ec_ �( ite.ffirs pOta)r) n Orencie CoAntrA 5. Are you a U.S.citizen? Yes: ' No: Are you a registered voter? Yes: ✓ No: District#: 6. Resident of the City for 6 months or longer? Yes: V No: 7. Do you hold public office? Yes: No: ✓' 8. Are you employed by the City? Yes: No: ✓ 9. Do you now serve on a City Board or Committee? Yes: v No: 10. Please attach any information that would assist Commission in making appointments. PLEASE CHECK THE BOARDS WHICH INTEREST YOU BY INDICATING YOUR FIRST AND SECOND CHOICE(#1, #2). *Code Enforcement Board >< Human Relations Diversity Board *Board of Adjustment Parks&Recreation Advisory Board Community Grant Review Board Personnel Board Citizen Advisory Council of Fire *Planning&Zoning Commission Department(CACOFD) Citizen Advisory Council of Police *Police Officers'and Firefighters' Department(CACOPD) Retirement Trust Fund Board of Trustees *General Employees' Retirement OTHER: Trust Fund Board of Trustees *FINANCIAL DISCLOSURE FORMS ARE REQUIRED FOLLOWING APPOINTMENT By my signature below, I attest that the information provided herein is true and correct and I acknowledge and agree that a background check may be required when duties include contact with children. SIGNATURE: - DATE: ►■du 12 1 291( Note: (1)Application effective for ONE YEAR from date of completion. It can be faxed to(407)905-3168. (2)If you have any questions,please call the City Clerk's office at(407)905-3105. City of Ocoee• 150 N. Lakeshore Drive•Ocoee,Florida 34761 Phone: (407)905-3100•Fax: (407)905-3168 •Website: www.ocoee.org