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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Applicants should meet the following criteria:

1) Must be member in good standing with The Florida Bar;

2) May not be current employees of the County or the Hillsborough County Sheriff’s Office;

3) Cannot currently hold, or in the three years preceding appointment have held, any employment or contractual relationship with the County or the Sheriff’s Office whatsoever, including providing legal representation; and

4) Must pass a criminal background check.

Applicants must include the following information within Section 5 of the application:

1) A resumé

2) Letters of recommendation (optional, not required)

Board of Interest *

Local Hearing Officers for Red Light Camera and School Zone Speed Camera Hearings

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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