2009 McLay ,�` CITY OF BOYNTON BEACH Print Form
� ADVISORY BOARD APPOINTMENT APPLICATION
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Thank you for your interest in serving on a City advisory board and for taking the time to fill out this form.
Please print or type all answers clearly. If interest is expressed in appointment to more than one board, selections must be
prioritized. If instructions are not followed or the application is not filled out in its entirety, the form will be returned for clarification.
Name (Deborah Donnelly-McLay
Address 111786 North Lake Drive
City !Boynton Beach State FL Zip Code 133436 Phone Number' (561)537-0046
E-mail Address Iddonnelly@ipapilot.org
Current occupation or, if retired, prior occupation(Airline Pilot/Educator
Education IMS Aeronautical Science-Business, Pursuing Doctorate of Education-Organizational Leadership
Are you a registered voter? C:Yes C'No �1
Do you reside within the Boynton Beach City limits? (:Yes C No eg7eti4 i
Do you own/manage a business within City limits? ('Yes C:No
If"yes", name of business:
Are you currently serving on a City board? ('Yes C: No
Have you served on a City board in the past? ('Yes C: No
If so,which board(s) and when?'
Have you ever been convicted of a crime? ('Yes (: No
If so,when? I Where?
You may serve on only one board. Please indicate which advisory board(s)you are seeking appointment AND whether
as a regular member,alternate,or no preference.Prioritize up to three choices with number 1 being the most desired and 3 being the least
preferable.For board listing,requirements,responsibilities and meeting times and dates,see pages 3 and 4 below.
Arts Commission Education and Youth Advisory Board Planning & Development Board
Building Board of Adjustment&Appeals Employees' Pension Board Police Officers' Retirement Trust Fund
Cemetery Board Firefighters' Pension Trust Fund Recreation & Parks Board
Code Compliance Board Golf Course Advisory Committee Senior Advisory Board
Community Relations Board Library Board Veterans Advisory Commission*
Board Preferences:
1st choice 'Education and Youth Advisory Board member type (No preference
2nd choice(optional) 'please select a board... member type please select...
3rd choice (optional) (please select a board... member type (please select...
*If Veterans Advisory Commission, list Branch of Military Service or Organization:
What personal qualifications do you possess(i.e., profession, previous experience, branch of military service or organization)which
you feel would make you a good candidate for this board? Please be specific.
I believe with my professional, educational and personal experience, I would be an asset to the Education
and Youth Advisory Board. I am currently pursuing a Doctorate of Education degree from Nova Southeastern
University and have held various instructor/leadership positions. I was also the owner of a foreign language
First Choice: school for children in New Hampshire and believe very strongly in promoting child's abilities and interests to
further education. I am currently the President of the Boynton Beach/Lantana Rotary Club,where we are very
involved with children's educational projects in our community. I also serve as a Brownie Troop leader here in
Boynton Beach.
Second Choice:
Third Choice:
Feel free to attach an extra sheet or resume. Return the completed form to:
City Clerk's Office, 100 East Boynton Beach Boulevard, City Hall. Mailing address: P.O. Box 310, Boynton Beach, FL 33425-0310
FAX to: (561) 742-6090
It will be placed in the City's Talent Bank, a file to which Commissioners may turn for candidates when board openings occur.
I hereby certify that the statements and answers provided herein are true and accurate. I understand that, if appointed, any false
statements may be cause for removal from a board.
Signature: Date:
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