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| Gender (optional): |
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Describe yourself within one or more of the categories. :
Access the Statute online. |
This information is requested pursuant to Section 760.80, Florida Statutes. |
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| I am a U.S. citizen.: |
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If yes, please provide the office title, date of election, term of office, and level of government |
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If yes, please provide the office title and term of appointment |
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| Are you a registered voter in Florida: |
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| Are you (or your spouse or child) employed by, or an officer of, an entity doing business with, or receiving funds from, the City of Jacksonville (including independent authorities)?: |
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| Do you, your spouse, or your child own a business that is doing business with, or receiving funds from, the City of Jacksonville (including independent authorities)?: |
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| Do you engage in any consulting or contract work with a business that is doing business with, or receiving funds from, the City of Jacksonville (including independent authorities)?: |
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| Are you (your spouse or child) a member (voting or non-voting) of any nonprofit or corporate boards that are doing business with, or receiving funds from, the City of Jacksonville (including independent authorities)?: |
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