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1. Name (Required.)

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2. Street Address (Broward County residence) (Required.)

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3. Have you continuously resided in Broward County for the past 24 months? (Required.)

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4. Phone Number (Required.)

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6. Occupation (Required.)

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7. Current Employer (If applicable)

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8. List any public boards, councils, or commissions on which you currently serve or have served. (Required.)

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9. Are you an officer, director, or employee of an organization that currently receives, or has received, children's services funding from Broward County or the Children’s Services Council of Broward County? (Required.)

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10. Conflict Letter

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11. Please explain your familiarity with the work of the Children’s Services Council of Broward County to date and your vision for the organization moving forward. (Required.)

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12. Describe your knowledge of the issues and problems facing Broward’s children and families, and the policy issues currently facing the children’s services system. (Required.)

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13. Describe any experience or activities supporting Broward’s children and families, particularly in the following areas: children with special needs, juvenile justice, out-of-school-time programs, early childhood education, mental health, or dependency and child welfare. (Required.)

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14. Describe any experience working with community members to develop solutions that help children live and thrive, or developing or funding community collaborations or partnerships to address community needs. (Required.)

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15. Describe your experience with organizational development and capacity building for nonprofit organizations. (Required.)

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16. Describe your experience in short- and long-range planning, including any familiarity with Results-Based Accountability (RBA) and evidence-informed contracting. (Required.)

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17. List your experience (professional or volunteer) with financial management, budgeting and oversight of public funds, financial planning, and grant funding requirements and processes. (Required.)

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18. How would you represent the CSC's work to, and bring feedback from, the communities and families you know best? (Required.)

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19. List your experience (professional or volunteer) with policy development and legislative advocacy. (Required.)

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20. Are you able to attend regular Council meetings which take place on the third Thursday of the month from 9:30-noon, and serve on at least one committee? (Required.)

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21. Resume (Required) (Required.)

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22. Letters of Recommendation (Optional)

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23. Certification: By submitting this application, I certify that the information provided is true and complete, and I understand that this application and all attached materials are public records under Chapter 119, Florida Statutes. (Required.)

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