APPLICATION QUESTIONNAIRE FOR COUNTY APPOINTMENTS

Please complete the application in its entirety. Incomplete applications will not be considered for appointment.

Information from this questionnaire will be used by the Board of County Commissioners of Hillsborough County when considering appointments to Advisory Boards and Councils.

Information submitted via this application is subject to public records requests

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NOTE: Are you or your spouse's home address, phone number, place of employment, or date of birth exempt from public disclosure under Chapter 119, Florida Statutes (the Public Records Law)? *

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All members shall be registered voters residing in Hillsborough County, Florida, who do not have direct financial interest in County business and must have an impartial, unbiased attitude and no conflicts of interest. Any applicant or Audit Committee member who has an independence or objectivity impairment in fact or in appearance, must promptly report the details to the County's Boards and Councils Coordinator, County Internal Auditor, and Committee Chair. The nature of the disclosure will depend upon the impairment. Each Member should have an understanding of good management and business practices.

Board of Interest *

County Internal Audit Committee

Position Applying For *

Personal Information

Last Name *

First Name *

Middle Name

Email *

Phone Number *

Residential Address

Street *

P.O. Box/Suite

City *

State *

Zip *

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