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Board Application Form
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Select the Board/Committee which you are applying for
-- Select One --
Historic Environmental Preservation Board
Planning and Zoning Appeals Board
Civil Service Board
Community Relations, Recreations & Activities Advisory Board
Housing Authority & Nuisance Abatement Board
*AD HOC - board will be formed when necessary to deal with a specific issue
Proof of residency required
Home Phone Number
Cell Phone Number
Business Phone Number
Length of Residency in Opa-locka
Why do you wish to serve on this board/comittee?
What areas of concern would you like to see addressed by this board/committee?
Qualifications for serving
Other municipal or county boards/committees or non-profits on which you are serving
List three local personal references and phone numbers (References must be non-related and non-city employees)
Application is effective for one year from date of completion. If you have any questions, please call the City Clerk's Office at 305.953.2800/2801
Conflict of Interest
If a board member believes he/she has a conflict or potential conflict of interest on a particular issue, that member should state these beliefs to the other member of his/her respective board during a public meeting. The member should state the nature of the conflict, detailing that he/she has a separate, private or monetary interest, either direct or indirect, in the issue under consideration. The member should then excuse himself/herself from voting on the matter. Florida Sunshine Law applies to all city boards. Financial Disclosure form is required, of appointed to serve.
I, the applicant for this board application, warrant the truthfulness of the information provided in this application.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the Terms of Acceptance.*
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