2009 Erlichman Oct, 26. 2009 4: 51 PM
rr . CITY OF BOYNTON BEACH `7yc4`':/PrintFonn I
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 (Barbara Erlichman
Address 1716 Manatee Bay Drive
City (Boynton Beach State 1=1- Zip Code 33435 Phone Number' (561)737-9381
E-mail Address'jaybariix.netcom.com
Current occupation or, i retired, nor occupation'Freelance copy editor/proof reader
Education 'Cheadle ulme High School Ch - ire, England. St. John's College, Manchester, England
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Are you a registered voter? (:Yes C.No , o �
Do you reside within the Boynton Beach City lim'i.? (:yes C No iv cr. `-=s
Do you own/manage a business within City limits? r Yes (a No
if"yes", name of business:
Are you currently serving on a City board? C Yes (i No rri
Have you served on a City board in the past? ('`yes ('No
If so,which board(s)and when?'
Have you ever been convicted of a crime? r Yes (:No
If so,when? 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 'Library Board member type 'Regular
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:
Oct, 26, 2009 4:52PM No. 1751 P, 2
What personal qualifications do you possess(Le.,profession,previous experience,branch of military service or organization)which
you feel would make you a good candidate for this board?Please be specific.
As a voracious reader, I cannot imagine a world without books. Public libraries are a vital community resource.
First Choice; I am also a wordsmith—I love words and would hope that everyone has the opportunity to appreciate the
written word that I had.
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: f—UostA (. 6-4._ Date: j of t
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