Okaloosa County BOCC — March 18, 2013 — TDC Membership Application (NG&N) — reading text

Okaloosa County Tourist Development Council Membership Application Thank you for expressing interest to be considered for appointment to the Okaloosa County Tourist Development Council (“Council”). The Okaloosa Board of County Commissioners appreciates your willingness to serve your fellow citizens in a volunteer capacity. Please complete this application to the best of your ability and include a resume. Name: E-mail Address: _______________________________ Home Address: _____________________________________________________________________________ Phone Number: ___________________________ Alternate Phone Number: ________________________ Place of Employment: ________________________________________________________________________ Are you a registered voter in Okaloosa County, Florida? YES ____ NO _____ Voter ID# _________________ Do you now serve, or have you ever served, on an Okaloosa County Board or Committee? YES ____ NO ____ If YES, please list the boards/committees and time period served: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ I am interested in serving in the following capacity: (CHECK ONE): ___ Elected Municipal Official ___ Owner or operator of one of the following in Okaloosa County: Motels ___ Hotels ___ Recreational vehicle parks ___ or other tourist accommodations (please list) __________________ ___ Individual involved in the tourist industry who has demonstrated an interest in tourist development, but does not own or operate motels, hotels, recreational vehicle parks or other tourist accommodations in Okaloosa County. Please attach a summary of your demonstrated interest in tourist development. Include a statement as to why you are interested in serving on the Council: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Include a statement about what your membership will add to the Council: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ All information provided will become a matter of public record and will be subject to public disclosure. I certify that the above information is true and accurate to the best of my knowledge. I understand that a volunteer position provides for no compensation except that as may be provided by Florida Statute. Signature Date Printed Name Please return completed application, resume and cover letter to: Daniel O’Byrne Tourist Development Director Okaloosa County Tourist Development Department 1540 Miracle Strip Parkway SE Fort Walton Beach, FL 32548 dobyrne@co.okaloosa.fl.us