POLICE ADVISORY PANEL APPLICATION
Created to assist the Chief of Police with developing policies for the purpose of ensuring police accountability and transparency to the community and to foster public confidence and trust in the administration and operation of the Police Department. The Police Advisory Panel shall meet quarterly on a day and time to be determined.
Applicants must be City residents

NAME:
HOME PHONE:
HOME ADDRESS:
ZIP CODE:
I AM APPLYING FOR: (Select one or both)                                                BOTH
Appointment is for a 3-year term.  Applicants for Chair must be willing to serve as Chair for 3 years
CITY RESIDENT: DISTRICT:
HOW LONG HAVE YOU LIVED IN SARASOTA?  
OCCUPATION:
NAME OF BUSINESS:
BUSINESS ADDRESS: BUSINESS PHONE:
ARE YOU CURRENTLY SERVING ON A CITY BOARD?
IF YES, WHICH BOARD?
RESUME OF EDUCATION AND EXPERIENCE:(Limit 1000 characters)
 A value is required.Exceeded maximum number of characters.
LIST ANY CRIMINAL JUSTICE EXPERIENCE: (Limit 1000 characters)  A value is required.Exceeded maximum number of characters.
MEMBER OF THE FOLLOWING CIVIC ORGANIZATIONS: (Limit 1000 characters)  A value is required.Exceeded maximum number of characters.
WHY DO YOU DESIRE TO SERVE ON THE POLICE ADVISORY PANEL? (Limit 1000 characters)  A value is required.Exceeded maximum number of characters.
HAVE YOU EVER BEEN CONVICTED OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OFFENSE?
IF CONVICTED OF A FELONY, HAVE YOUR CIVIL RIGHTS BEEN RESTORED?
GIVE DETAILS:
I UNDERSTAND THAT IF APPOINTED, I WILL SERVE ON THE ABOVE BOARD WITHOUT COMPENSATION AND AT THE PLEASURE OF THE CITY COMMISSION.

PLEASE NOTE:
APPLICANTS FOR APPOINTMENT ARE REMINDED OF THE PROVISIONS OF THE FLORIDA STATUTES CONCERNING CONFLICTS OF INTEREST.  PLEASE DIRECT ANY QUESTIONS RELATIVE TO CONFLICT OF INTEREST TO THE CITY AUDITOR AND CLERK, TELEPHONE NO. 954-4160.

I HEREBY ACKNOWLEDGE THAT IF APPOINTED I WILL BE ASSIGNED A CITY PROVIDED E-MAIL ACCOUNT.  I UNDERSTAND AND ACCEPT THAT, IN ACCORDANCE WITH CITY POLICY AS STATED IN RESOLUTION NO. 10R-2187, ALL E-MAIL CORRESPONDENCE RELATED TO THE BUSINESS OF THE ADVISORY BOARD TO WHICH I AM APPPOINTED MUST BE CONDUCTED ON A CITY ISSUED E-MAIL ACCOUNT.

ALL APPLICATIONS ARE RETAINED FOR ONE (1) YEAR AFTER THE DATE OF APPLICATION. A NEW APPLICATION WILL BE REQUIRED AT THAT TIME.  SEND COMPLETED FORMS TO:   
OFFICE OF THE
CITY AUDITOR AND CLERK
CITY OF SARASOTA
P.O. BOX 1058
SARASOTA, FL 34230

By Submitting, I accept to all the terms and conditions.

SUBMITTED BY
ON THIS DATE: