The City of Florence is soliciting letters of interest from citizens who may be interested in filling a committee vacancy. To be eligible for appointment, you must be at least 18 years of age and a resident of the corporate limits of Florence. Term lengths will be discussed upon appointment. The vacancy will stay open until filled.

BOARD OF ZONING ADJUSTMENTS (1)

CITY COUNCILMEMBER WARD 2 (1)

 1.                 U.S. citizen

2.                  At least 18 years of age

3.                  Resident of Florence at least 12 consecutive months

4.                  Registered elector

5.                  Maintains residence within Ward 2 boundaries

To express interest in a public service position of vacancy, please complete the form below.

Public Service Application 

Please Check One (required)

New Applicant

Application for Reappointment

Applicant's Name (required)

Application Date (required)

Residence/Property (Street) Address/ City/ State/ Zip (required)

Mailing Address (required)

Home Telephone (required)

Cell Number (required)

Work Telephone (required)

Email Address (required)

Are you a registered voter? (required)

Yes

No

Do you live within the City limits of Florence? (required)

Yes

No

Applicant's Place of Employment (required)

Position (required)

Product or service rendered by Applicant's employer (required)

Spouse's Place of Employment (required)

Position (required)

Product or service rendered by Spouse's employer (required)

Board or Commission on which you would like to serve: (required)

Planning Commission

Board of Zoning Appeals

City Council

Date you attended board or commission meeting for which you are applying? (required)

Why do you wish to serve on this board or commission? (required)

Have you served on any other City board or commission? (required)

Yes

No

Describe work or volunteer experience you have related to the function of this board or commission: (required)

Please list your areas of expertise and education that would benefit the boardor commission for which you are applying: (required)

Do you have monetary interest, direct or indirect, to any pending or incomplete transaction or contract to which the City is, or is to be, a party? (required)

Yes

No

If you answered"Yes" to the above question, please explain:

Does your spouse have any monetary interest, direct or indirect, to any pending or incomplete transaction or contract to which the City is, or is to be, a party? (required)

Yes

No

Other information or comments:

How did you learn about this vacancy (please list all that apply): (required)City Website City's Facebook Page Constant Contact Word of Mouth Other

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NOTE: The public service application is considered an open record. If you are not selected to serve at this time, your application will be kept on file for 12 months from the date it was received and will be reconsidered as vacancies occur. Appointees violate the City's boards and commissions attendance policy if they miss three consecutive meetings or attend fewer than 2/3 of the regular or special meetings of the board or commission on which they serve within the twelve month period following the member's appointment."Excuse" shall mean more than inconvenience and includes illness or family emergency. Business commitments shall not be a good excuse

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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