City of Temple Terrace Customer Service

Citizen Board Application Form

2. Please complete the online form below. Once completed, either hit the submit button or print both pages and deliver to the City Clerk, 11250 N. 56th Street, Temple Terrace, FL 33617, or send via email to LegislativeOffice@templeterrace.com.

4. Personal Information

6. Select the Board, Commission, or Committee applying for:*
   -- Select One --Select OneBoard of AdjustmentsHC Bicycle/Pedestrian AdvisoryHC Building Board of AdjustmentHC City/County Planning CommissionHC Electrical Board of AdjustmentHC Historical Advisory CouncilHC Marine Law Enforcement AdvisoryHC Mechanical Board of AdjustmentHC Plumbing Board of AdjustmentHillsborough River Technical AdvisoryLibrary BoardMPO Citizens’ Advisory CommitteeMunicipal Code Enforcement BoardParking Enforcement Hearing OfficerRiver Watch Task ForceSchool Support CommitteeStrategic Advisory Committee for TT G&CC

8. Name:*

10. Home Address:*

12. Home Phone Number:*

14. Cell Phone Number:

16. Business Address:*

18. Business Phone Number:*

20. Occupation:*

22. Email Address:

24. Residency Information

26. Length of Residency in League City:*

28. Organization Membership Information

30. 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

36. If yes, which:

38. Number of years served:

40. Please list organization memberships and positions held:

42. Please List Areas of Special Interest

44. Availability (mark either or both):*

    1. Day
    2. Evening

46. CITY OF TEMPLE TERRACE BOARD AND COMMITTEE MEMBERS CODE OF CONDUCT
    

    1. Members will support the concepts of the local government and provide constructive and realistic attitudes toward local government affairs while demonstrating a sense of pride to serve the public trust.
    2. Members shall not engage or attempt to influence the general population concerning their personal moral values and/or political preferences while performing their official duties.
    3. Members shall conduct themselves in a professional manner to foster public trust and to exhibit confidence and integrity of local government affairs.
    4. Members shall refrain from personal attacks upon other City officials and respect differences of opinions.
    5. Members shall make decisions or conclusions to best serve the entire community.
    6. Members shall refrain from using their appointed positions to undermine the policy decisions of, or public confidence in, the governing body.
    7. Members shall provide honest, fair, impartial, and consistent communication as to public purpose of boards and committees.
    8. Members shall accept no personal favors for their service to the community and strictly abide by Florida Statutes Chapter 112, Part III.
    9. While attending meetings or representing the appointed board or committee, members shall be expected to wear appropriate dress.

    I have read the above Code of Conduct and understand what is expected of me as a City of Temple Terrace Board and/or Committee Member.

    I understand that submission of this application indicates my agreement to comply with this code if appointed to any Board or Committee.
    

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47. Submit Submit and Print

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