City of Temple Terrace Customer Service

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Citizen Board Application Form

  1. Please complete the online form below. Once completed, either hit the submit button or print both pages and deliver to the City Clerk, 11250 N. 56th Street, Temple Terrace, FL 33617, or send via email to
  2. Personal Information
  3. Residency Information
  4. Organization Membership Information
  5. Are you currently serving on other Boards, Commissions, or Committees?*
  6. Have you served on a Board, Commission, or Committee before?*
  7. Availability (mark either or both):*

    1. Members will support the concepts of the local government and provide constructive and realistic attitudes toward local government affairs while demonstrating a sense of pride to serve the public trust.
    2. Members shall not engage or attempt to influence the general population concerning their personal moral values and/or political preferences while performing their official duties.
    3. Members shall conduct themselves in a professional manner to foster public trust and to exhibit confidence and integrity of local government affairs.
    4. Members shall refrain from personal attacks upon other City officials and respect differences of opinions.
    5. Members shall make decisions or conclusions to best serve the entire community.
    6. Members shall refrain from using their appointed positions to undermine the policy decisions of, or public confidence in, the governing body.
    7. Members shall provide honest, fair, impartial, and consistent communication as to public purpose of boards and committees.
    8. Members shall accept no personal favors for their service to the community and strictly abide by Florida Statutes Chapter 112, Part III.
    9. While attending meetings or representing the appointed board or committee, members shall be expected to wear appropriate dress.

    I have read the above Code of Conduct and understand what is expected of me as a City of Temple Terrace Board and/or Committee Member.

    I understand that submission of this application indicates my agreement to comply with this code if appointed to any Board or Committee.

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