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Ad Hoc Parking Committee Application
Leave This Blank:
First Name:
*
Last Name:
*
Address:
*
Phone Number:
*
How Long Have you Lived in Hallandale Beach:
*
Current Occupation:
*
Days Available to Attend Meetings:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Hours Available to Attend Meetings:
*
Mornings
Middays
Afternoons
Nights
Volunteer Experience/Professional Experience:
*
Why Do You Want To Serve On the Ad Hoc Parking Committee?
*
Indicated which of the following areas in which you live:
*
Three Islands Area (Includes Three Islands Boulevard, Parkview Drive and Leslie Drive)
South Ocean Drive
Golden Isles and Diana Drive
Northeast Area (Includes Diplomat Parkway, N.E. 14th Avenue and N.E. 12th Avenue)
Atlantic Shores Boulevard
What special qualifications do you feel you would bring to this committee?
* indicates required fields.
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