Consent to Serve in an Elected Position

I,
Name*
First Last
hereby give my consent to be considered as a candidate for an officer position and, if subsequently elected, serve in an elected position of the Florida Developmental Disabilities Council, according to the bylaws of the corporation.
Selections:*
- Select All
- Chair
- Vice Chair
- Treasurer
- At Large Member
Describe your qualifications, experience, or other reason for seeking consideration to the stated elected position(s). Provide information on (1) How many years you have served on the Council; (2) any leadership positions you have held with the Council, including Task Force and Committee roles; and (3) your plans for the direction of the Council in the next 2 years, including three things you feel are top priorities facing the Council in that time period.*
I do not currently have any conflicts of interest with my position as a Council Member or Council officer and pledge to avoid any conflicts during and after my term as an officer, if elected*
I Accept
I certify that all information provided as part of this form is true and correct to the best of my knowledge*
I Accept
By selecting the "I Accept" button, I am signing this Agreement electronically.*
I Accept
Signature*
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