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Community Redevelopment Agency Committee

Application

Personal Information

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Community Redevelopment Agency Committee - Application

CRITERIA:

Must be city resident or be engaged in business within the Downtown Redevelopment District, i.e., own a business, practice a profession, perform a service for compensation or serve as an officer or director of a corporation or other business entity engaged in business within the Downtown Redevelopment District.

Are you a City of DeLand resident? *

Are you a City of DeLand resident?

Yes

How long have you lived in the DeLand area? *

Are you engaged in business within the Downtown Redevelopment District? *

Are you engaged in business within the Downtown Redevelopment District?

Yes

What business? *

Business address *

Are you currently serving on a City Board? *

Are you currently serving on a City Board?

Yes

List board and time served: *

Have you ever served on a City Board? *

Have you ever served on a City Board?

Yes

When and which Board? *

Are you currently serving on any advisory board for any other governmental agency? *

Are you currently serving on any advisory board for any other governmental agency?

Yes

Please list: *

Please describe your community involvement: *

Please describe your interest/activities: *

Why do you desire to serve on this Board or Committee? *

Community Redevelopment Agency Committee - Personal Information

First name: *

Middle name:

Last name: *

Email address: *

Email form field Email address: is not in correct form

Primary phone number: *

Phone form field Primary phone number: must be in the format: (000) 000-0000

Secondary phone number:

Phone form field Secondary phone number: must be in the format: (000) 000-0000

Address: *

Apartment number:

Employment History

Employer: *

Position: *

Employment date: *

Date form field Employment date: must be in the format: MM/dd/yyyy

Education

Degree(s): *

School or college: *

Graduation date: *

Date form field Graduation date: must be in the format: MM/yyyy

A resume or separate sheet with additional information may be included:

Form field A resume or separate sheet with additional information may be included: has Invalid files.

Email Address: