Boards & Committees Applications

4. Committee(s) Applying for:

   Check all that apply

   1. Historic Preservation Commission (HPC)
   2. Local Planning Agency (LPA)
   3. Land Acquisition Advisory Committee (LAAC)

   1. Near Shore Water Regulation Committee
   2. Parks & Recreation Committee
   3. Workforce/Affordable Housing Citizens' Advisory Committee
6. Personal Information
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. Phone Number*
20. Email Address
22. Occupation*
24. Residency Information
26. Length of Residency in Islamorada*
27. Are you a registered voter*

    1. Yes
    2. No
29. Organization Membership Information
31. Are you currently serving on other Boards, Commissions, or Committees?*

    1. Yes
    2. No
32. If yes, which
34. Have you served on a Board, Commission, or Committee before?*

    1. Yes
    2. No
35. If yes, which
37. Please list organization memberships and positions held
39. Please List Areas of Special Interest
41. Please Upload Letter of Interest

    A letter of interest should include your general qualifications for consideration by Village Council for the appointment to the Committee.

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field