HomeMy WebLinkAbout2021 01 12 Nussbaum, Arnie Application City of Winter Springs, FL Boards &Commissions Submit Date: Jan 12, 2021
Application Form
Profile
Please be aware that documents submitted to the City are public records available for
inspection to the extent allowed by Chapter }
Florida Statutes.
Arnie Lee Nussbaum
First Name Middle Initial Last Name
687 Andover Circle
Home Address Suite or Apt
Winter Springs FL 32708
City State Foetal Code
What district do you live in?
District 3
arnlee687@aol.com
Email Address
Mobile: (407) 230-0849 Home: (407) 356-9084
Primary Phone Alternate Phone
Retired - Emcee-Voice Over
Artist- Also Guardian Ad Litem
& Licensed RN
Occupation
ation
Which Boards would you like to apply for?
Parks and Recreation Advisory Committee: Appointed
Eligibility
Are you duly registered to vote in Seminole County?
r. Yes r No
Are you duly registered to vote in the City of Winter Springs?
• Yes r No
Do you live within the city limits of Winter Springs
• Yes r No
How long have you been a resident of Winter Springs?
24
Arnie Lee Nussbaum
Have you ever been convicted or found
regardless of
of a felony in any
guilty, adjudication,
jurisdiction? Any plea of nolo contendere (no contest) shall be considered a conviction for
the purposes of this question.
Yes • No
Do you currently serve on any other City of Winter Springs board or committee?
• Yes r No
above,If yes to the
please list each
currently serve on the Parks & Recreation Advisory Committee
Do you have any private or personal interests which might conflict with serving the City's
interests if you were to be appointed to serve on this board or committee?
Yes • No
City ordinance requires that all persons applying for a City board or committee must
voluntarily consent to a standard criminal background check before being appointed to a
board or committee. Do you voluntarily consent to having a standard background check
being performed on you by the City of Winter Springs?
• Yes r No
Are you related to a City of Winter Springs Commission member by blood, adoption, or
Yes • No
If yes to the above, please provide relation
Interest & Experiences
Why are you interested in serving on a board or committee?
have served on the committee proudly since it's inception in 2011. 1 care deeply for our city &believe
can continue to contribute as a member of this board. My preference is the Parks & Rec board. However
want to continue to serve our city. That would be on any committee that the Mayor& Commission believe
would be able to help by being a member.
Briefly state any specialized knowledge or prior experience you have that would be useful in
assisting the board or committee in accomplishing its purpose.
Have served as Chairperson on this board for many years. My last work position was a National Manager
for the medical division of one of the Johnson &Johnson companies supervising the US & Puerto Rico .
Have an RN degree & BS in Organizational Behavior.
Arnie Lee Nussbaum
Briefly state any experience you have in serving on any governmental board or committee.
I've served on this board since 2011. I've served on National Charity boards as part of the executive team
for one of the Johnson &Johnson Companies. I've served on boards &committees while working for the
New York City Emergency Medical Service ( Now part of the NYFD) In the US Army National Guard
served as a liaison within our battalion for teaching soldiers.
State Reporting Requirements
Florida law requires ity annually submiti race,
gender, and physicali Ill 1 i .
Ethnicity*
Caucasian/Non-Hispanic
Male
08/12/1953
Date of Birth
Do you have a physical disability?
• Yes r No
Please Agree with the Following Statement
You hereby represent to the City of Winter Springs under penalties of perjury that the
information provided herein is true and accurate to the best of your knowledge and the City
of Winter Springs has the right to rely on that information
Agree
Please Agree with the Following Statement
You hereby acknowledge the existence of the Code of Ethics for Public Officers and the
Florida Sunshine Law which may pertain to you if you are appointed to a City Board or
Committee. If appointed it is your sole obligation and duty to comply with such laws.
Agree
Arnie Lee Nussbaum