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)? *

info

Must be a resident and registered voter of Hillsborough County.

The Consortium has the authority to waive the residency requirement for nominees in the Workforce; Education Training; and Government, Economic/Community Development categories only.

Board members are required to file an annual financial disclosure.

Board of Interest *

CareerSource Tampa Bay

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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