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Item #02 Appointment to CACOFD ocoee florida AGENDA ITEM COVER SHEET Meeting Date: April 7, 2015 Item # Reviewed By: Contact Name: Diana Turner Department Director: Beth E' -er•� tom;:. Contact Number: Ext. 1023 City Manager: Rob Frank � I Subject: New Appointment to the Citizen Advisory Council for Ocoee Fire Department (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 seven (7) members. One application has been received to serve on the Board from Robert Carter. Issue: Should the Honorable Mayor and City Commissioners appoint Robert Carter to the Citizen Advisory Council for Ocoee Fire Department(CACOFD)? Recommendations One application has been recently submitted for appointment to the Citizen Advisory Council for Ocoee Fire Department (CACOFD); therefore, staff recommends the City Commission consider appointing Robert Carter to the Citizen Advisory Council for Ocoee Fire Department with a term ending November 1, 2018. Attachments: Board Applications Board List Financial Impact: None Type of Item: (please mark with an `x') Public Hearing For Clerk's Dept Use: Ordinance First Reading Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda 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 RECEIVET) MAR 2 6 2015 OCOe BY: !!`--.,�r \e C ! 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 119,Florida Statutes, and therefore, is open to public inspection by any persons. 1. Name:Rp 1j,e„-`� , C a rte, v- E-mail Address: S j r b plo /a @ C v(C/1- 7; 2.2. Home Address:S/7 3occt a e, -6073 T Home Phone: wy a.y0 ) City, State,Zip: Oa().e to. , G L ?'Y 74 / 3. Business: Business Phone: Business Address: 4. Brief Summary of Qualifications and Experience: '9D Fears 0'P /0,, Eypev-ie -ie .a-.'d Ed tic to-w 1 •v Fc "-e 3 vrz.Q � St. Entcks eAvc-y M4Ai4 5e �r,T /1 y e,,.�y- �. 4Avn Pub /lc TN-PoN.rtect vou 5. Are you a U.S. citizen? Yes: j( No: Are you a registered voter? Yes: x" No: District#: 3 6. Resident of the City for 6 months or longer? Yes: )' No: 7. Do you hold public office? Yes: No: .X 8. Are you employed by the City? Yes: No: �( 9. Do you now serve on a City Board or Committee? Yes: No: )e 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. 111,4 SIGNATURE: /� sir ► DATE: ,3/2 3 c .O/,- Note: (1)Appli 'tion 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 CITIZEN ADVISORY COUNCIL FOR OCOEE FIRE DEPARTMENT Created by Res.#2003-20 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. Robert Carbone 4 407-905-5353 (H) November 2017 2432 Great Birch Drive 786-459-7274(W) Rob34761@yahoo.com 2. Warren Channel 4 321-354-1802(H) November 2017 2715 Cullens Court 407-656-3855 (W) warrenchannell@yahoo.com 3. Charles Lawrie 3 407-347-8247(H) November 2017 313 Covered Bridge Drive diana lawrie2001(a,yahoo.com 4. Glenn Richardson 2 407/877-7472(H) November 2015 774 Creek View Court cappouch@aol.com 5. Wayne Vaughn 2 407/656-3857(H) November 2015 600 Cardinal Street 407/654-0155 (W) colvaughn@cfl.rr.com 6. Jackie Titus 2 407-656-5454(H) November 2017 1100 Malcolm Road bklady1100 @aol.com 7. Frank"Johnny"Hodge 3 407-656-0671 (H) November 2017 23 Cedar Key Ct Ex-Officio Members Rusty Johnson,Commissioner 407/656-2034(H) 407/383-6755 (C) rjohnson@ci.ocoee.fl.us Tim Hoover,Acting Fire Chief 407-905-3140 x 2001 thoover @ci.ocoee.fl.us Tom Smothers,Acting Deputy Fire Chief 407-905-3140 x 2002 tsmothers@ci.ocoee.fl.us Recording Secretary Cam Hall 407-905-3140 x 2005 chall(n,ci.ocoee.fl.us