Board or Commission Member Candidate Application Form

  • Board or Commission Member Candidate Application Form

    301 S. Ridgewood Avenue Daytona Beach, FL 32114

  • Pursuant to Florida Statutes, Chapter 119, this application and any other related written or electronic communication shall become a public record subject to public disclosure.

    Completed applications will be kept active for one (1) year from the date received in the Office of the City Clerk. All persons seeking re-appointment must also submit an application to be considered.

    Per Resolution No. 2022-01 (as amended by Resolution No. 2025-289), all members of City boards appointed by the City Commission shall attend 4 hours of training upon appointment and reappointment that includes the topics of training required of elected municipal officers by Section 112.3142, Florida Statutes.

  • I understand that membership in the Affordable Housing Advisory Committee requires qualification in one of the eleven (11) categories listed below. ***If you are applying for the Affordable Housing Advisory Committee (AHAC) you must complete this section.****
  • Governed by Ordinance No. 93-37, Ordinance No. 96-259, Ordinance No. 08-112, Ordinance 19-39, and F.S. 420.9072 (9), amended by F.S. 420.9076 (2), states that the Advisory Committee shall consist of at least 8 but not more than 11 committee members who are citizens recommended by the City Manager, the Mayor, or any City Commissioner and appointed by resolution of the City Commission for a two (2) year term. Effective October 1, 2020 the committee must consist of one locally elected official from each county or municipality participating in the State Housing Initiatives Partnership Program (CC) and the committee must consist of one representative from at least six of the following categories, actively engaged and specifically in connection with affordable housing. Pursuant to s. 163.3174, if the local planning agency is comprised of the governing board of the county or municipality, the governing board may appoint a designee who is knowledgeable in the local planning process to satisfy the necessary category. *(Please select all that apply)*

  • Personal Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you a registered voter in the City?*
  • Is your primary residence in Daytona Beach?*
  • Are you a U.S. citizen?*
  • Do you require special accommodations?*

  • Business Information

  • Do you own property in Daytona Beach?*
  • Do you own a business in Daytona Beach?*
  • Format: (000) 000-0000.
  • Are you employed in Daytona Beach?*

  • Education/Experience

  • Select all areas of special knowledge or expertise applicable to the board opening you are applying for*
  • Have you attended one or more meetings of the board for which you are applying?*
  • Do you currently serve, or have you ever served on a board?*
  • I understand the responsibilities associated with being a board member, that some boards require electronic filing of an Annual Financial Disclosure (boards indicated above), and I have adequate time to serve if appointed.*
  • I understand The City of Daytona Beach may conduct a background check including a criminal history and code violations check and that the information so obtained will be maintained on file with my application.*

  • For Office Use Only

  • Date Verified*
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