Item #02 Appointment to the Citizen Advisory Council for Ocoee Fire Department'`` 'J
OCO(?(?
tiorida
AGENDA ITEM COVER SHEET
Meeting Date: July 1, 2014
Item # a_
Contact Name:
Contact Number
Melanie Sibbitt
Ext. 1026
Reviewed By:
Department Director: Beth Eikenbe
City Manager: Rob Frank A;
Subject: New Appointment to the Citizen Advisory Council for Ocoee Fire be'partment (3 -year
terms)
Background Summary:
Members of the Citizen Advisory Council for Ocoee Fire Department serve three -year terms. The Resolution
creating the Board allows no more than fifteen (15) members. The board currently has five (5) members. One
application was recently submitted by Mr. Robert Carbone.
Issue:
Should the Honorable Mayor and City Commissioners appoint Robert Carbone to the Citizen Advisory Council
for Ocoee Fire Department (CACOFD)?
Recommendations
One application was recently submitted for appointment to the Citizen Advisory Council for Ocoee Fire
Department (CACOFD); therefore staff recommends the City Commission consider appointing Robert Carbone
to the Citizen Advisory Council for Ocoee Fire Department with a term ending November 1, 2017.
Attachments:
Board Application
Board List
Financial Impact:
None
Type of Item: (please mark with an "x')
Public Hearing
Ordinance First Reading
Ordinance Second Reading
Resolution
Commission Approval
Discussion & Direction
For Clerk's Dept Use:
Consent Agenda
Public Hearing
Regular Agenda
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 () N/A
SIN %�
OCOPC?
florida
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 l ] 9, Florida Statutes, and therefore, is open to
// public inspection by any persons.
Name: ���6� /Y ��,�� E -mail Address: 10
Home Address: f�,( ����t �,� /�% Home Phone: �p7 0� C24
City, State, Zip: y GZ, r— c L
Business:
Business Address: /,(may 4
Brief S mmary of Qualifications
Busines Phone: 7"
I Experience:
e-
5.
Are you a U.S. citizen? Yes: y
Are you a registered voter? Yes:
No:
No:�
District #: 4
6.
Resident of the City for 6 months or longer?
Yes:
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:
No:
10.
Please attach any information that would assist Commission
in making appointments.
*Police Officers' and Firefighters'
PLEASE CHECK THE BOARDS WHICH INTEREST YOU BY INDICATING YOUR FIRST AND
SECOND
CHOICE ( #1, #2).
Retirement Trust Fund Board of
*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: j/- < v — DATE: y 7
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 - ] 50 N. Lakeshore Drive • Ocoee, Florida 34761
Phone: (407) 905 -3100 • Fax: (407) 905 -3168 • Website: www.ocoee.org
*Code Enforcement Board
Human Relations Diversity Board
*Board of Adjustment
l
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: j/- < v — DATE: y 7
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 - ] 50 N. Lakeshore Drive • Ocoee, Florida 34761
Phone: (407) 905 -3100 • Fax: (407) 905 -3168 • Website: www.ocoee.org
CITIZEN ADVISORY COUNCIL FOR OCOEE FIRE DEPARTMENT
Created by Res. 42003 -20 on 9/16/2003 amended by Res. #2010 -012 on 8/3/2010- (Up to 15 members but no less
than 7 members)
Member District
Phone Number Term Ends
1. Warren Channel 4
321 - 354 -1802 (H) November 2014
2715 Cullens Court
407 - 656 -3855 (W)
warrenchannell(n>�ahoo.com
2. Charles Lawrie 3
407 - 347 -8247 (H) November 2014
313 Covered Bridge Drive
diana lawrie2001 ayahoo.com
3. Glenn Richardson 2
407/877 -7472 (H) November 2015
774 Creek View Court
cappouch(2(aol.com
4. Wayne Vaughn 2
407/656 -3857 (H) November 2015
600 Cardinal Street
407/654 -0155 (W)
colvaughn(a)_cfl. rr.com
5. Jackie Titus
407 - 656 -5454 (H) November 2017
1100 Malcolm Road
bklady 1100 a aol.com
Ex- Officio Members
Rusty Johnson, Commissioner 407/656 -2034 (H)
407/383 -6755 (C)
rjohnsonnci.ocoee.fl.us
Tim Hoover, Acting Fire Chief 407 - 905 -3140 x 2001
thoovergwci.ocoee.fl.us
Tom Smothers, Acting Deputy Fire Chief 407 - 905 -3140 x 2002
tmothers a,ci.ocoee.fl.us
Recording Secretary
Cam Hall 407 -905 -3140 x 2005
chap a ci.ocoee.fl.us