HomeCitizen CommitteesApply Online Application for Appointment to Committee or Board(* indicates required field) Name*:Address*:City*:State*:Zip*:Phone*:Email*:I wish to be appointed to the following board, committee, authority or special activity of the Highlands County Board of County Commissioners: Affordable Housing Advisory Committee Board of Adjustment / Planning & Zoning Commission Children's Service Council Construction Licensing, Enforcement and Appeals Board Dangerous Dog Hearing Board Extension Advisory Council Health Facilities Authority Heartland Workforce Investment Board, Inc. Highlands County Citizen Advisory Task Force Historic Preservation Commission Hospital District Board Industrial Development Authority / Economic Development Commission Insurance Committee Lake Istokpoga Management Committee Local Mitigation Strategy Workshop Natural Resources Advisory Commission Public Safety Coordinating Council Recreation and Parks Advisory Committee Tourist Development Council Veteran Services Advisory BoardAs a*: Regular Member Alternate Advisory OnlyCurrent Employment Experience*:Previous Employment Experience*:Education / Special Training*:High SchoolCollegeSpecial TrainingActivities & Interests*:List any boards or committees to which you are currently appointed, elected offices held, or law enforcement positions held:Are you related to any County employee or County Commissioners: Yes NoName of Relative: Relation: Important: The Highlands County Board of County Commissioners has an adopted Code of Conduct for persons serving on committees, boards, and panels appointed by the Highlands County Board of County Commissioners. Part II, number 10, of the Code of Conduct prohibits Being convicted of a felony or first degree misdemeanor as defined by Florida Statutes or any other crime involving moral turpitude. Have you ever been convicted of a crime that would preclude you from serving on a committee, board or panel? Yes No Optional:Highlands County strives to maintain diversity in membership on its advisory committees and boards. Although strictly optional for applicant, the following information is needed to meet reporting requirements and attain those goals.Gender: Male FemaleDisable: No YesAge: Race: White Black or African American Asian Hispanic or Latino American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Upon checking this box, I electronically sign my application and certify that all statements and information provided in the application are true and to the best of my knowledge. It is the applicants responsibility to keep the information on this application current. To advise the County of any changes please contact Michelle Drake by phone (863) 402-6517 or by email: email@example.com.