Facebook Link Preview for LakeCOuntyFL.gov
Lake County logo
Residents Visitors Business Government
 
You are here: Home > Advisory Boards And Committees > Application
 
Keyword Search
 
Citizen Action Request
General Information
Lake County BCC
315 West Main St.
P.O. Box 7800
Tavares, Florida 32778


 Application for Advisory Board/Committee
Print Page Save Link

Fill out the below form to submit a general application for a Lake County Advisory Board/Committee. Printable application forms are also available.

General Application











Which of the following do you have experience in? Please check all that apply:











Other:
I will attend meetings in accordance with the adopted policies of Lake County. If at any time my business or professional interests conflict with the interests of this Board or committee, I will not participate in such deliberations. References may be secured from the following individuals: (Include Name, Address, Phone)
1. Name:
Address:
Phone:
2. Name:
Address:
Phone:
3. Name:
Address:
Phone:
In completing this application, you are acknowledging that personal information you provide is subject to Florida's Public Records Policy as stated in Chapter 119, Florida Statutes, and Article I, Section 24 of the State Constitution.
* YOU WILL BE REQUIRED TO FILE A FINANCIAL DISCLOSURE FORM, PURSUANT TO CHAPTER 112, FLORIDA STATUTES, IF APPOINTED TO THE BOARD OF ADJUSTMENT, THE BOARD OF BUILDING EXAMINERS, OR THE PLANNING AND ZONING BOARD. Also, due to Florida laws regarding dual office holding, citizens cannot serve on more than one of these above-mentioned boards at one time. In the event this occurs, the member will be required to resign from one of the positions.

Thank you for submitting your application for an advisory board/committe. It has been received successfully and will be reviewed as soon as possible.

Lake County BCC Copyright 2006
Home : Visitors : Residents : Business : Government : Directory of Services : Online Services