HomeMy WebLinkAboutCity of Tamarac Resolution R-2021-063 Temp. Reso. #13613
June 23, 2021
Page 1 of 3
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2021 - 0(0 3`
A RESOLUTION OF THE CITY
COMMISSION OF THE CITY OF TAMARAC,
FLORIDA, APPOINTING FIVE MEMBERS TO
THE DIVERSITY, EQUITY & INCLUSION
ADVISORY BOARD, FOUR MEMBERS
APPOINTED BY EACH OF THE
COMMISSIONERS AND ONE MEMBER
APPOINTED AT-LARGE BY THE MAYOR,
TO SERVE TERMS CONCURRENT WITH
THEIR APPOINTING COMMISSIONER OR
UNTIL SUCH TIME NEW APPOINTMENTS
ARE MADE; PROVIDING FOR CONFLICTS;
PROVIDING FOR SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City Commission is desirous of appointing members to the
City of Tamarac's advisory boards and committees; and
WHEREAS,; the City Commission created the Diversity, Equity & Inclusion
Advisory Board through Ordinance 0-2021-001; and
WHEREAS, members of the Diversity, Equity and Inclusion Advisory Board
shall serve terms in accordance with the terms and provisions of§2-59 and of the
City's Code of Ordinances; and
WHEREAS, in accordance with §2-57 and §2-58 of the Tamarac Code, the
City Commission shall appoint qualified individuals to the respective positions; and
WHEREAS, the City Commission of the City of Tamarac, deems it to be in
111 the best interest of the citizens and residents of the City of Tamarac to appoint five
Temp. Reso. #13613
June 23, 2021
Page 2 of 3
members to the Diversity, Equity and Inclusion Advisory Board, in accordance with
the procedures provided for in §2-58 and §2-59 of the Tamarac Code.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA THAT:
SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
Resolution. All exhibits attached hereto are incorporated herein and made a
specific part of this Resolution.
SECTION 2: The following individuals are hereby appointed to serve as
members of the Diversity, Equity and Inclusion Advisory Board, and to serve terms
concurrent with their appointing Commission member, or until such time as new
appointments are made. •
Name of Appointee Board District Term Ending
Judy Hunter Diversity, Equity & Inclusion 1 Nov. 5, 2024
Stephanie George Diversity, Equity & Inclusion 2 Nov. 8, 2022
Jose Flores Diversity, Equity & Inclusion 3 Nov. 5, 2024
Jose Galindo Diversity, Equity & Inclusion 4 Nov. 8, 2022
Ronald L. Fried Diversity, Equity & Inclusion Mayor At Large Nov. 8, 2022
SECTION 3: All resolutions or parts of resolutions in conflict herewith are
hereby repealed to the extent of such conflict.
SECTION 4: If any clause, section, other part or application of this
Resolution is held by any court of competent jurisdiction to be unconstitutional or
invalid, in part or application, it shall not affect the validity of the remaining portions
or applications of this Resolution.
Temp. Reso. #13613
June 23, 2021
Page 3 of 3
SECTION 5: This Resolution shall become effective immediately upon
adoption.
PASSED, ADOPTED AND APPROVED this ..n3 day of -37CAAre
2021.
'‘-i41
Michelle J. GoT
MAYOR
ATTEST:
Jenn r Jo n , CMC
CITY CLER
RECORD OF COMMISSION VO1E: n
MAYOR GOMEZ
DIST 1: COMM. BOLTON
DIST 2: COMM.GELIN
DIST 3: V/M VILLALOBOS vjeS
DIST 4: COMM. FLACK() L
I HEREBY CERTIFY that I have
approved this RESOLUTION
as to orm.
Joh -R. ri
RNE
•
TAMARAC CITY OF TAMARAC
11 °1.••� APPLICATION FOR BOARD AND COMMITTEE
Thee City For Your Life APPOINTMENTS
Service on an advisory Board or Committee provides citizens with an opportunity to help shape future policy and
strategic direction for the City of Tamarac. Tamarac residents are cordially invited to apply for appointment by the
City Commission to a Board or Committee. Advisory board and committee members are voluntary positions and
serve without benefit of compensation.
Please check Boards/Committees for which you wish to be considered:
Charter Board Diversity,Equity and Inclusion Advisory Board
Parks and Recreation Board Planning Board
Public Art Committee Veteran's Affairs Committee
Sister Cities Committee Other (Please specify):
Ruth Bader Ginsberg Commission on the Status of Women (RBG)
Application is for: Reappointment • New appointment
PERSONAL;
Name:Jose Flores Telephone Number:754-245-3822
10008 NW 83rd St. Villa 2, Tamarac, FL. 33321
Home Address: Zip Code:
ngth of Residence in Tamarac (If applicable) 11 Years 4 Months
Length of Time as Business Person in Tamarac (If applicable) 6 Years Months
E-Mail Address: foseinspires@gmail.com
Development/Section Name and Number:
Commission District Number: 3 Voting Precinct Number: J002
EDUCATION:
Name and location of High School: Wallkill Senior High School Wallkill, NY.
College (if appropriate):
Years Completed: Degree:
Field of Study:
gther. rofessionel or technical training (Name of school,.course name,etc.
certified Pro essional Speaker, Coach, n Consu ant with the Les BrownMaximum Achievement Institute
Rev.O7106/16
EMPLOYMENT:
Self employed 1111
Current or most recent employer:
Address: 10008 NW 83rd St. Villa 2, Tamarac, FL. 33321
Position: CEO Years of Service: 6
Duties: Speaking, Coaching, and Consulting
OTHER QUALIFICATIONS;
Please provide a brief statement outlining why you wish to potentially serve on the applicable advisory boards
and/or committees selected. In addition,please feel free to attach a copy of your resume or vita(optional):
As a person living and thriving with a physical different ability and permanently in a wheelchair, I believe that I can
add tremendous value in helping to make Tamarac more diverse, equitable, and inclusive.
MFMRFRSHUS:
Completion of this section is optional. The information will be helpful to the press if you are appointed;however,
it is not a prime factor in making appointments.
Years Member Office Held (if any) •
Outside City of Tamarac
ACKNOWLEDGM ENT
I understand that in accordance with the Florida Sunshine Law, this information will be posted for public review
and I waive any objection to such publication.
I understand that appointment to any of the positions indicated above is a voluntary service,with no compensation
or benefits.
If appointed, I agree to faithfully and fully perform the duties of my office,will make every endeavor to serve my full
term, and will comply with all laws or ordinances of the City of Tamarac, Broward County and the State of Florida,
particularly those pertaining to the conduct of public office and related financial disclosure requirements, if
applicable to my position. I further agree to take the applicable statutory oath. I understand that if appointed, I
must take the oath of office prescribed in the Florida Statutes.
Section 2-56 of the Tamarac Code provides each member of a board or committee of the City of Tamarac shall be a
resident of the city. Failure to be a resident of the city shall result in forfeiture of the position on the board or
committee. This section does not apply to staff appointed to a board, committee or commission as part of their
work responsibilities. At their discretion, the Tamarac City Commission may waive the requirements of this
section. �s,.��.�a..m,..ow..,om
-cZ to�Cd f Poi
March 17, 2021
Signature of Applicant Date
Rev.07/06/16
PLEASE RETURN THIS APPLICATION TO THE CITY CLERK'S OFFICE FOR PROCESSING.
City of Tamarac, 7525 Northwest 88 Avenue,Tamarac, FL 33321-2401 (954)597-3505
• ADDENDUM TO ADVISORY BOARD AND COMMITTEE APPLICATION FORM
Applicant Name: Jose Fbres
1 Do you have any relatives presently employed by the City of Tamarac? No
If yes, please state names and City departments/divisions:
2 Are you aware of any potential conflict of interest that may arise from your serving
on City of Tamarac advisory boards and committees? No If yes, please explain:
3 Do you presently have monies owed to the City of Tamarac which are delinquent?
If yes, please explain: No
4 Do you have any pending code violations relative to property owned by you within
The City of Tamarac? If yes, please explain: No
• 5 Do you have any existing violations relative to other City codes? No
If yes, please list:
•
Rev.07/06/16
TAMARAC CITY OF TAMARAC
,00000 °61 APPLICATION FOR BOARD AND COMMITTEE •
The City For Your Life APPOINTMENTS
Service on an advisory Board or Committee provides citizens with an opportunity to help shape future policy and
strategic direction for the City of Tamarac. Tamarac residents are cordially invited to apply for appointment by the
City Commission to a Board or Committee. Advisory board and committee members are voluntary positions and
serve without benefit of compensation.
Please check Boards/Committees for which you wish to be considered:
✓ Charter Board ✓ Diversity,Equity and Inclusion Advisory Board
Parks and Recreation Board ✓ Planning Board
Public Art Committee Veteran's Affairs Committee
Sister Cities Committee Other (Please specify):
Application is for: Reappointment • New appointment
PERSONAL:
Name: Jose Galindo Telephone Number: 7542451678
Home Address: 9509 NW 80th pl Zip Code: 33321
Length of Residence in Tamarac (If applicable) 12 Years Months
Length of Time as Business Person in Tamarac (If applicable) 8 Years Months •
E-Mail Address:jgalrealty@yahoo.com
Development/Section Name and Number:jgalrealty@yahoo.com
Commission District Number: District 3 Voting Precinct Number:
EDUCATION:
Name and location of High School: Peruvian Air force School "Manuel Polo Jimenez"
College (if appropriate): Miami Dade College
Years Completed: 4 Degree: Graphic Design Technology
Design, Architecture , Photography
Field of Study:
Other professional or technical training (Name of school, course name, etc.):
Miami DaDe College Business management certificate
Miami Dade College Business marketing
Gold Coast School Real estate Sales ( Realtor for the city of Tamarac)
1111
Rev.07/06/16
EMPLOYMENT:
Srrent or most recent employer: Homegoods
Address: 12670 Vest Sunrise Blvd
Position: Manager Years of Service: 2
Duties: Control operations of the store,hiring,training , control budget and deliver great customer service.
OTHER QUALIFICATIONS:
Please provide a brief statement outlining why you wish to potentially serve on the applicable advisory boards
and/or committees selected. In addition, please feel free to attach a copy of your resume or vita (optional):
I would like to serve again to my great community. i served as a member of the planning board for four years. I
helped the COP program as a volunteer for 2 years .
I attended Tamarac University to learn more about my community and understand what it takes to run a
successful city like ours.
Seeing our city leaders working together towards the success of our city inspire me to serve again and offer my
experience and time to my feibw neighbors.
MEMBERSHIPS:
Completion of this section is optional.The information will be helpful to the press if you are appointed; however,
it is not a prime factor in making appointments.
IIITamarac Organization Years Member Office Held (if any)
Planning Board 4
Outside City of Tamarac
ACKNOWLEDGMENT
I understand that in accordance with the Florida Sunshine Law, this information will be posted for public review
and I waive any objection to such publication.
I understand that appointment to any of the positions indicated above is a voluntary service,with no compensation
or benefits.
If appointed, I agree to faithfully and fully perform the duties of my office,will make every endeavor to serve my full
term, and will comply with all laws or ordinances of the City of Tamarac, Broward County and the State of Florida,
particularly those pertaining to the conduct of public office and related financial disclosure requirements, if
applicable to my position. I further agree to take the applicable statutory oath. I understand that if appointed, I
must take the oath of office prescribed in the Florida Statutes.
Section 2-56 of the Tamarac Code provides each member of a board or committee of the City of Tamarac shall be a
resident of the city. Failure to be a resident of the city shall result in forfeiture of the position on the board or
committee. This section does not apply to staff appointed to a board, committee or commission as part of their
ork responsibilities. At their discretion, the Tamarac City Commission may waive the requirements of this
4filction. o�ad.W s„a,.,.wox..,cm s.
RareG9
e,� February 25, 2021
Signature of Applicant Date
Rev.07/06/16
PLEASE RETURN THIS APPLICATION TO THE CITY CLERK'S OFFICE FOR PROCESSING.
City of Tamarac, 7525 Northwest 88 Avenue, Tamarac, FL 33321-2401 (954) 597-3505
ADDENDUM TO ADVISORY BOARD AND COMMITTEE APPLICATION FORM •
Applicant Name: Jose Galindo
1 Do you have any relatives presently employed by the City of Tamarac? n°
If yes, please state names and City departments/divisions:
n/a
2 Are you aware of any potential conflict of interest that may arise from your serving
on City of Tamarac advisory boards and committees? no If yes, please explain:
n/a
3 Do you presently have monies owed to the City of Tamarac which are delinquent?
If yes, please explain: n/a
4 Do you have any pending code violations relative to property owned by you within
The City of Tamarac? If yes, please explain: n/a
have anyexisting violations relative to other Citycodes? nO •
5 Do you a eest g
If yes, please list:
•
Rev.07/06/16
TAMARAC CITY OF TAMARAC
41,0000°11,000°,0 APPLICATION FOR BOARD AND COMMITTEE
The City For Your Life APPOINTMENTS
Service on an advisory Board or Committee provides citizens with an opportunity to help shape future policy and
strategic direction for the City of Tamarac. Tamarac residents are cordially invited to apply for appointment by the
City Commission to a Board or Committee. Advisory board and committee members are voluntary positions and
serve without benefit of compensation.
Please check Boards/Committees for which you wish to be considered:
✓ Charter Board ✓ Diversity,Equity and Inclusion Advisory Board
✓ Parks and Recreation Board ✓ Planning Board
Public Art Committee Veteran's Affairs Committee
✓ Sister Cities Committee Other (Please specify):
Application is for: Reappointment 4110 New appointment
PERSONAL:
Name: Judy Hunter Telephone Number: 786-258-5304
Home Address: 5008 NW 49th Rd Zip Code: 33319
Length of Residence in Tamarac (If applicable) 6 Years 11 Months
•n9th of Time as Business Person in Tamarac (If applicable) Years Months
E-Mail Address: Huntham@aol.com
Development/Section Name and Number:
Commission District Number: 1 Voting Precinct Number: J020
EDUCATION:
Name and location of High School:V equahic High
College (if appropriate): Rutgers U., FIU, Harvard Principal's Academy
Years Completed: 10 Degree: BS. MS +
Political Science, Administration and Supervision
Field of Study:
Other professional or technical training (Name of school, course name, etc.):
Educator, Retired Principal, Daycare Director/Owner
•
Rev.07/06/16
EMPLOYMENT:
Current or most recent employer: Retired Principal •
Address 1450 NE 2nd Ave. Miami, Fl 33132
Position: Principal Years of Service: 34
Duties: Budget, Finance, Personnel, HR, Site Manager, Construction Planning (new school)
OTHER QUALIFICATIONS:
Please provide a brief statement outlining why you wish to potentially serve on the applicable advisory boards
and/or committees selected. In addition, please feel free to attach a copy of your resume or vita (optional):
I have worked and volunteered as well as served on a wide range of Boards and participated with many
organizations.
MEMBERSHIPS:
Completion of this section is optional.The information will be helpful to the press if you are appointed; however,
it is not a prime factor in making appointments.
Tamarac Organization Years Member Office Held (if any) •
Mainlands 6 Board 1 Secretary
Outside City of Tamarac
Guardian at Litem 7 Recruitment Dir.
Inner city Advocacy Board 6 Co Director
ACKNOWLEDGMENT
I understand that in accordance with the Florida Sunshine Law, this information will be posted for public review
and I waive any objection to such publication.
I understand that appointment to any of the positions indicated above is a voluntary service,with no compensation
or benefits.
If appointed, I agree to faithfully and fully perform the duties of my office,will make every endeavor to serve my full
term, and will comply with all laws or ordinances of the City of Tamarac, Broward County and the State of Florida,
particularly those pertaining to the conduct of public office and related financial disclosure requirements, if
applicable to my position. I further agree to take the applicable statutory oath. I understand that if appointed, I
must take the oath of office prescribed in the Florida Statutes.
Section 2-56 of the Tamarac Code provides each member of a board or committee of the City of Tamarac shall be a
resident of the city. Failure to be a resident of the city shall result in forfeiture of the position on the board or
committee. This section does not apply to staff appointed to a board, committee or commission as part of their
work responsibilitie
s. At their discretion, the Tamarac City Commission may waive the requirements of this
section.
February 17, 2021
Signature of Applicant Date
Rev.07/06/16
PLEASE RETURN THIS APPLICATION TO THE CITY CLERK'S OFFICE FOR PROCESSING.
City of Tamarac, 7525 Northwest 88 Avenue, Tamarac, FL 33321-2401 (954) 597-3505
• ADDENDUM TO ADVISORY BOARD AND COMMITTEE APPLICATION FORM
Applicant Name: Judy Hunter
1 Do you have any relatives presently employed by the City of Tamarac? No
If yes, please state names and City departments/divisions:
2 Are you aware of any potential conflict of interest that may arise from your serving
on City of Tamarac advisory boards and committees? No If yes, please explain:
3 Do you presently have monies owed to the City of Tamarac which are delinquent?
If yes, please explain: No
4 Do you have any pending code violations relative to property owned by you within
The City of Tamarac? If yes, please explain: No
1111 Dohave anycodes? No
5 you a e existing violations relative to other City
If yes, please list:
11111
Rev.07/06/16
TAMARAC CITY OF TAMARAC
do''"L.•••'"t -N.1' APPLICATION FOR BOARD AND COMMITTEE •
The City For Your Life APPOINTMENTS
Service on an advisory Board or Committee provides citizens with an opportunity to help shape future policy and
strategic direction for the City of Tamarac. Tamarac residents are cordially invited to apply for appointment by the
City Commission to a Board or Committee. Advisory board and committee members are voluntary positions and
serve without benefit of compensation.
Please check Boards/Committees for which you wish to be considered:
Charter Board = Diversity,Equity and Inclusion Advisory Board
Parks and Recreation Board Planning Board
Public Art Committee Veteran's Affairs Committee
Sister Cities Committee Other (Please specify):
Ruth Bader Ginsberg Commission on the Status of Women (RBG)
Application is for: Reappointment a New appointment
PERSONAL
RONALD L. FRIED 9546736420
Name: Telephone Number:
6060 N W 5511-I LN 33319
Home Address: Zip Code:
Length of Residence in Tamarac (If applicable) 8 Years 9 Months
Length of Time as Business Person in Tamarac (If applicable) _ Years Months
E-Mail Address: rronhollywood@gmail.com
Development/Section Name and Number:
Commission District Number: 1 Voting Precinct Number: J017
EDUCATION:
Name and location of High School:
Miami Coral Park, Miami, Florida
College (if appropriate): Florida State University
4 BS School of Social V elfare
Years Completed: Degree:
Criminology
Field of Study:
Other professional or technical training (Name of school, course name,etc.):
Loyola School of Law.JD 1975.
•
Rev.07/06/16
EMPLOYMENT:
irrent or most recent employer: Michael H. Merino, P.A.
Address: 6741 Orange Drive, Davie, FL
Position: Litigation Supervisor Years of Service: 8
Duties: Supervised Litigation Department
OTHER QUALIFICATIONS;
Please provide a brief statement outlining why you wish to potentially serve on the applicable advisory boards
and/or committees selected. In addition, please feel free to attach a copy of your resume or vita(optional):
I am interested in providing my perspective on a wide range of social, political and economic issues.
MEMBERSHIPS:
Completion of this section is optional. The information will be helpful to the press if you are appointed;however,
it is not a prime factor in making appointments.
Tamarac Organization Years Member ,office Held (if any)
Outside City of Tamarac
ACKNOWLEDGMENT
I understand that in accordance with the Florida Sunshine Law, this information will be posted for public review
and I waive any objection to such publication.
I understand that appointment to any of the positions indicated above is a voluntary service,with no compensation
or benefits.
If appointed, I agree to faithfully and fully perform the duties of my office,will make every endeavor to serve my full
term, and will comply with all laws or ordinances of the City of Tamarac, Broward County and the State of Florida,
particularly those pertaining to the conduct of public office and related financial disclosure requirements, if
applicable to my position. I further agree to take the applicable statutory oath. I understand that if appointed,
must take the oath of office prescribed in the Florida Statutes.
Section 2-56 of the Tamarac Code provides each member of a board or committee of the City of Tamarac shall be a
resident of the city. Failure to be a resident of the city shall result in forfeiture of the position on the board or
committee. This section does not apply to staff appointed to a board, committee or commission as part of their
ork responsibilities. At their discretion, the Tamarac City Commission may waive the requirements of this
lion_ ,o.. ,.6,.,,,m,00nooc..corn
R.r z,�3b aa�ao�me�3 a=a r« March 29, 2021
Signature of Applicant Date
Rev.07/06/16
PLEASE RETURN THIS APPLICATION TO THE CITY CLERK'S OFFICE FOR PROCESSING.
City of Tamarac, 7525 Northwest 88 Avenue,Tamarac, FL 33321-2401 (954)597-3505
ADDENDUM TO ADVISORY BOARD AND COMMITTEE APPLICATION FORM •
Applicant Name: RONALD L. FRIED
1 Do you have any relatives presently employed by the City of Tamarac? NO
If yes, please state names and City departments/divisions:
2 Are you aware of any potential conflict of interest that may arise from your serving
on City of Tamarac advisory boards and committees? NO If yes, please explain:
3 Do you presently have monies owed to the City of Tamarac which are delinquent?
If yes, please explain: NO
4 Do you have any pending code violations relative to property owned by you within
The City of Tamarac? If yes, please explain: NO
5 Doyou have anyexisting violations relative to other Citycodes? NO •
g
If yes, please list:
Rev.07/06/16
TAMARAC CITY OF TAMARAC
41,0000*".••••on---%.•00 APPLICATION FOR BOARD AND COMMITTEE
The City For Your Life APPOINTMENTS
Service on an advisory Board or Committee provides citizens with an opportunity to help shape future policy and
strategic direction for the City of Tamarac. Tamarac residents are cordially invited to apply for appointment by the
City Commission to a Board or Committee. Advisory board and committee members are voluntary positions and
serve without benefit of compensation.
Please check Boards/Committees for which you wish to be considered:
Charter Board ✓ Diversity,Equity and Inclusion Advisory Board
Parks and Recreation Board ✓ Planning Board
Public Art Committee Veteran's Affairs Committee
✓ Sister Cities Committee Other (Please specify):
Application is for: Reappointment 4110 New appointment
PERSONAL:
Name: Stephanie George Telephone Number: 954-592-4389
Home Address: 5845 N Plum Bay Pkwy Zip Code: 33321
Length of Residence in Tamarac (If applicable) 9 Years 5 Months
Ilingth of Time as Business Person in Tamarac (If applicable) Years Months
E-Mail Address:stephanie.george19@aol.com
Development/Section Name and Number:stephanie.george19@aol.com
Commission District Number: 2 Voting Precinct Number: J019
EDUCATION:
Name and location of High School: Stoneman Douglas HS Parkland, FL
College (if appropriate):
Florida Atlantic University
Years Completed: 4 Degree: Bachelor of Science
International Business/Marketing
Field of Study:
Other professional or technical training (Name of school, course name, etc.):
•
Rev.07/06/16
EMPLOYMENT:
Current or most recent employer: Office Depot •
Address: 6600 N Military Trail Boca Raton, FL 33496
Position: Marketing Program Manager Years of Service: 3.5
Duties: Planning and execution of local marketing initiatives
OTHER QUALIFICATIONS:
Please provide a brief statement outlining why you wish to potentially serve on the applicable advisory boards
and/or committees selected. In addition, please feel free to attach a copy of your resume or vita (optional):
I've lived in the city for almost 10 years and have seen the growth and improvements within the city. I think there
is potential for continued improvement and would love to be a part of what happens in my town (where I live).
MEMBERSHIPS:
Completion of this section is optional. The information will be helpful to the press if you are appointed; however,
it is not a prime factor in making appointments.
Tamarac Oroanization Years Member Office Held (if any)
Outside City of Tamarac
ACKNOWLEDGMENT
I understand that in accordance with the Florida Sunshine Law, this information will be posted for public review
and I waive any objection to such publication.
I understand that appointment to any of the positions indicated above is a voluntary service,with no compensation
or benefits.
If appointed, I agree to faithfully and fully perform the duties of my office,will make every endeavor to serve my full
term, and will comply with all laws or ordinances of the City of Tamarac, Broward County and the State of Florida,
particularly those pertaining to the conduct of public office and related financial disclosure requirements, if
applicable to my position. I further agree to take the applicable statutory oath. I understand that if appointed, I
must take the oath of office prescribed in the Florida Statutes.
Section 2-56 of the Tamarac Code provides each member of a board or committee of the City of Tamarac shall be a
resident of the city. Failure to be a resident of the city shall result in forfeiture of the position on the board or
committee. This section does not apply to staff appointed to a board, committee or commission as part of their
work responsibilities. At their discretion, the Tamarac City Commission may waive the requirements of this •
section. .s..�.u ..m,..�•.,o-
4.5rec%a.cieOeot9e February 12, 2021
Signature of Applicant Date
Rev.07/06/16
PLEASE RETURN THIS APPLICATION TO THE CITY CLERK'S OFFICE FOR PROCESSING.
City of Tamarac, 7525 Northwest 88 Avenue, Tamarac, FL 33321-2401 (954) 597-3505
• ADDENDUM TO ADVISORY BOARD AND COMMITTEE APPLICATION FORM
Applicant Name: Stephanie George
1 Do you have any relatives presently employed by the City of Tamarac? No
If yes, please state names and City departments/divisions: n/a
2 Are you aware of any potential conflict of interest that may arise from your serving
on City of Tamarac advisory boards and committees? No If yes, please explain:
3 Do you presently have monies owed to the City of Tamarac which are delinquent?
If yes, please explain: No
4 Do you have any pending code violations relative to property owned by you within
The City of Tamarac? If yes, please explain: Not that I'm aware. I was issued a _
• 5 Do you have any existing violations relative to other City codes? No
If yes, please list:
•
Rev.07/06/16