Thank you for your interest in serving in a leadership role with the Florida CERT Association (FCA). FCA relies on committed, experienced members to guide the Association, represent the membership, and advance CERT programs statewide. Please complete this application in full to be considered for placement on the annual election ballot.
Application Deadline: All applications must be submitted no later than ninety (90) days prior to the Annual Conference.
Ballot Timeline: Voting will take place no later than sixty (60) days prior to the Annual Conference.
Qualifications: Certain positions may require specific professional credentials or qualifications.

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* 1. To be eligible to serve as a candidate for the FCA Board of Directors or other governing positions, an applicant must:

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* 2. Name

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* 4. Phone Number

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* 5. Please indicate the position(s) for which you are applying

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* 6. Please describe your involvement with CERT programs and/or the Florida CERT Association, including years of service, leadership roles, committees, or special projects.

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* 7. Provide a short biography that will be shared with the membership as part of the election ballot. This should include your background, current role, and why you are seeking this position.

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* 8. A letter of support from your sponsoring agency is required and must be uploaded with this application. Acceptable sponsoring agencies include, but are not limited to:

Fire Rescue
Law Enforcement
Emergency Management Agency

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* 9. Acknowledgment & Certification
By submitting this application, I certify that:

I am an active member of the Florida CERT Association in good standing.
The information provided in this application is accurate and complete to the best of my knowledge.
I understand that submission of this application does not guarantee placement on the ballot and that all applications are subject to review by the Election Committee.
I agree to abide by the bylaws, policies, and ethical standards of the Florida CERT Association if elected.

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