Pinellas County, Florida
Boards, Councils, and Committees Application - Youth Advisory Committee
Please note: Youth Advisory Committee membership applications are only accepted in August of each year. Please visit the Youth Advisory Committee website for specific application dates.
Are you currently a Pinellas County resident? *
Were you a member of the Youth Advisory Committee last year? *
Are you currently serving on any Pinellas County boards, councils, or committees? *
Do you have or hold any employment or contractual relationship with any business or any agency which is subject to the regulation of or is doing business with Pinellas County? *
Do you serve on any state, regional or local government boards, councils or committees? *
Have you been convicted of a Public Entity Crime?
Public entity crime is defined by Florida Statute, sec. 287.133 as a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid, proposal, reply, or contract for goods or services, any lease for real property, or any contract for the construction or repair of a public building or public work, involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. *
Have you been convicted of a financial felony? *
Have you ever been convicted of a crime against children or seniors? *
Have you ever been arrested, charged, or indicted for violation of any federal, state, county, or municipal law, regulation or ordinance? (Exclude traffic violations for which a fine or civil penalty of $150 or less was paid) *

Important Information
Be advised that:
1. Membership on certain boards, councils or committees may have specific membership requirements, require an invoice of financial disclosure and/or require the submission of other information.
2. This application form, when completed and filed with Pinellas County, is a public record under Chapter 119, Florida Statutes and is open to public inspection.
3. Resumes may be sent to, but the application must be completed in order to be considered. You may use additional pages if necessary. The applicant is responsible for keeping information on the applicant current.
4. All material submitted to Pinellas County government is subject to the public records law of the State of Florida.

Thank you for your interest in serving on a board, council or committee for Pinellas County government. All board, council and committee meetings are open to the public. You are encouraged to attend a meeting to learn more about the duties of a member or the work of the board, council or committee in which you are interested.

If you have any questions regarding the completion and submission of this application or the duties and scope of responsibilities of the specific board, council or committee in which you are interested, contact the staff representative mentioned in the advertisement or listed in the committee listing.
I understand the responsibilities and commitment of time associated with an appointment to a Pinellas County board, council or committee. *