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Item #02 Appointment to the Citizen Advisory Council for Ocoee Fire Department�` %/ ocoee florldo AGENDA ITEM COVER SHEET Contact Name: Contact Number: Meeting Date: April 21, 2015 Item # 42 Reviewed By. Diana Turner Department Director: Beth Ext. 1023 City Manager: Rob Frank Subject: New Appointment to the Citizen Advisory Council for Ocoee Fire bepartment (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 eight (8) members. One application has been received to serve on the Board from Mark Scalzo. Issue: Should the Honorable Mayor and City Commissioners appoint Mark Scalzo 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 Mark Scalzo to the Citizen Advisory Council for Ocoee Fire Department with a term ending November 1, 2018. Attachments: Board Application Board List Financial Impact: None Type of Item (please mark with an 'Y) Public Hearing Ordinance First Reading Ordinance Second Reading Resolution Commission Approval Discussion & Direction Original Document/Contract Attached for Execution by City Clerk Original Document/Contract Held by Department for Execution For Clerk's Dent Use: X Consent Agenda Public Hearing Regular Agenda Reviewed by City Attorney N/A Reviewed by Finance Dept. N/A Reviewed by Q N/A EBY MAR Ocoee florfdo 1. 2. 3. 4. E -mail Address: Home Phone: �fD7 - �f6B — 637 Business Phone: 5. Are you a U.S. citizen? Yes: No: Human Relations Diversity Board Are you a registered voter? Yes: No: District #: 6. Resident of the City for 6 months or longer? Yes: No: 7. Do you hold public office? Yes: No: -.A 8. Are you employed by the City? Yes:_ No:_ 'L 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. PLEASE CHECK THE BOARDS WHICH INTEREST YOU BY INDICATING YOUR FIRST AND SECOND CHOICE ( #1, #2). 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: �S 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. 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. Name: / / X Home Address: City, State, Zip: l Business: Business Address: City of Ocoee • 150 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 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: �S 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. 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. Name: / / X Home Address: City, State, Zip: l Business: Business Address: 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 p_yahoo.com 2. Warren Channell 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_lawrie2001p_yahoo.com 4. Glenn Richardson 2 407/877 -7472 (H) November 2015 774 Creek View Court cqppouch@aol.com 5. Wayne Vaughn 2 407/656 -3857 (H) November 2015 600 Cardinal Street 407/654 -0155 (W) colvaughn(c - 01r.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 8. Robert Carter 3 724 - 640 -6731 (C) November 2018 517 Boca Chica Cir. #202 sirbobl 12p_comcast.net Ex- Officio Members Rusty Johnson, Commissioner 407/656 -2034 (H) 407/383 -6755 (C) riohnson e ,ci.ocoee.fl.us John Miller, Fire Chief 407 - 905 -3140 x 2001 thoover@ci.ocoee.fl.us Tim Hoover, Deputy Fire Chief 407 - 905 -3140 x 2002 tsmothers(a)ci.ocoee.fl.us Recording Secretary Cam Hall 407 - 905 -3140 x 2005 challp_ci.ocoee.fl.us