CITY OF DeLAND APPLICATION FOR APPOINTMENT DELAND MUNICIPAL FIREFIGHTERS' RETIREMENT PLAN

CRITERIA:

Two legal residents to be appointed by the City Commission; Two full-time firefighters to be elected by a majority of the firefighters participating in the plan; Fifth member to be nominated by the other four members of the retirement committee and approved by the City Commission.

DUTY:

The retirement committee shall have the authority to make such rules and regulations and to take such action as may be necessary to carry out the provisions of the plan and will, subject to the provisions of the plan, decide any question arising in the administration, interpretation and application of the plan, which decisions shall be conclusive and binding on all parties. The retirement committee may delegate any part of its authority and duties as it deems expedient.

In order to effectuate the purposes of this Plan, the retirement committee shall have the power to construe the Plan, to supply any omissions therein, to reconcile and correct any errors or omissions therein, to reconcile and correct any errors or inconsistencies, to hire a custodian to maintain custody of the Plan's assets, to hire an investment manager to manage the investments and assets of the Plan and to serve as a named fiduciary of the Plan, to hire accountants, attorneys, and other professional assistants, and to make equitable adjustments for any mistakes or errors made in the administration of the Plan, and all such actions or determinations made by the retirement committee in good faith shall not be subject to review by anyone.

Requester Name

First Name *

Last Name *

Address

Address or Location

Primary Phone Number

Secondary Phone Number

Employment

Employer *

Position *

Length of Employment *

Education

High School

Colleges

Degree(s)

Do you work within the City Limits?

Yes

Are you a City of DeLand resident?

Yes

Do you own property in DeLand

Yes

Have you ever served on a City Board?

Yes

If yes, when and which board?

Are you currently serving on any advisory board for any other governmental agency?

Yes

If yes, when and which agency?

How long have you lived in the DeLand area?

Work Experience

Community Involvement

Interests/Activities

Why do you desire to serve on this Board?

A resume or separate sheet with additional information may be included.

If you have questions, please call the Office of City Clerk 386-626-7132

I understand the responsibilities associated with being a Board member, and I have adequate time to
serve on the above Board(s).

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