Okaloosa County BOCC — 2013 meeting #1139 (date undetermined) — Manuela Janak — reading text

Application for Membership on Okaloosa RESTORE Advisory Committee Name_ MAN VECA JAN AIK Address 33 0 Vinuiw ec WAY Bo PEED APT. #208 | DE STINGL Z2S5¢/ Resident of Okaloosa County at least 3 years: V Yes No ( City Unincorporated) MJ Position(s) applying for: _ Environmental _ League of Cities _ Business (Chamber) ve V_Economic/Jobs (EDC) _ Education _ Fishing/Seafood _ Tourism A. Education (Degrees, Schools, Continuing Education, etc.): (May include in Resume) REPORT OF EVALV ATION OF EDUCATIONAL CREDENTIALS V, 26/7 ON FILE —-PUR POSE OF EVAL VATION - EMPLOYH ENT, BE OU CATION 7 B. Work Experience in the Position Applied For: (May attach resume if desired) REAL ESTATE PROFESSIONAL IN FLORIDA SISCE HAR CH /9393 REAL ESTATE GROKER STATUS -CVRREWT , INACTIVE OWN REAL ESTATE COMPANY ON TE RWATION AL ZEAL ESTATE SéavicEs L iINVESTMENTS ,/NC,." FROM OCTOBER 1997 TO Jinvnray 20/0 C. List Three Professional References in the Position Applied For with contact info: 1. Z. 3. Page 1 D. Professional Affiliations and Positions Held (Groups, Societies, Boards, etc): FCORIPA ASSOCIATION OF REALTORS LEZNER SHIP PIRECTORY, REACTOR ASSICIATION OF M(AMI-OADE COUNTY ~(NTER - WATIOWAL Council. CHAIR PERSOW FIARC(-VS A MiAm; COUNCIL CHAIRPERL OW FLORIDA CCIM -AS CAN OI DATE CIPS CERTIFIED INTER NATIONAL PRIPERTY SPECIALIST E. How much time are you willing to give to this volunteer position? ZOHrs per week/month F. Why do you want to be a member of the Okaloosa RESTORE Advisory Committee? VOLUNTEER TIME TO THE COMMUNITY SEER EMPLOY MEWwT G. If not selected for the ORAC, are you willing to serve on a Working Group? V Yes __No H. | certify that all information in this application is true and accurate. | authorize County staff to verify any information as they deem necessary and to contact the references | have provided. | also understand that this is a voluntary (unpaid) position and that | will serve at the will of the Board of County Commissioners. | further acknowledge that the ORAC falls under the Florida Sunshine Laws (e.g., | cannot discuss ORAC business with other ORAC members outside a public meeting) and Public Records Laws and | will comply with those requirements (ORAC members will be briefed on these requirements by the County Attorney). Name: MANUELA ie WAK__ Signature Ih. ‘Weewle Date 96-/0-/3 Page 2