Florence Urban Renewal Agency Application Form

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

Date

edit-submitted-date-month

edit-submitted-date-day

edit-submitted-date-year

First Name *

Last Name *

Home Address *

Mailing Address *

Home Phone

Cell Phone

Email *

Number of Years in the Florence Area *

Would you be able to attend at least one meeting per month? *

Are you aware members may have to devote considerable time for study and analysis of urban renewal issues? *

Can you see any potential conflicts of interest, either personal or financial? *

What is your occupation / position? (If retired, what was your occupation?)

Please give a brief statement explaining why you desire to be a member of the Urban Renewal Agency Board

Will you represent a local government / special district?

You are here