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2. Choose the boards you are most interested in:

   1. Board of Adjustment
   2. Charter Review Committee
   3. Code Enforcement Board
   4. Fire Fighters Pension Board

   1. Leisure Services Advisory Board
   2. Ordinance Review Committee
   3. Planning Board
   4. Veterans Advisory Board
4. Name*
5. Email*
7. Address*
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Alternative Phone Number
15. Fax
17. Organization
19. Are you an Oldsmar resident?

    1. Yes
    2. No
20. Will you be able to make evening meetings as required?

    1. Yes
    2. No
22. Please list any relevant skills or training.
24. Please list any other information you feel is relevant to your appointment.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field