HomeMy WebLinkAbout2024 05 18 Weisman, Leah ApplicationSubmit Date: May 18, 2024
First Name Middle
Initial
Last Name
Home Address
City State Postal Code
Email Address
Primary Phone Alternate Phone
City of Winter Springs, FL Boards & Commissions
Application Form
Public Records
Profile
What district do you live in?
District 5
Which Boards would you like to apply for?
Bicycle and Pedestrian Advisory Committee: Submitted
Parks and Recreation Advisory Committee: Submitted
Eligibility
Are you duly registered to vote in Seminole County?
Yes No
Are you duly registered to vote in the City of Winter Springs?
Yes No
Do you live within the city limits of Winter Springs
Yes No
How long have you been a resident of Winter Springs?
29 years
Leah R Weisman
113 Brookshire Ct
Winter Springs FL 32708
mactrix1@me.com
Home: (407) 782-5730 Home: (407) 782-5730
Leah R Weisman
Have you ever been convicted or found guilty, regardless of adjudication, of a
felony in any 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 No
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 No
Are you related to a City of Winter Springs Commission member by blood,
adoption, or marriage?
Yes No
Interest & Experiences
Why are you interested in serving on a board or committee?
I would like to assist in the continuing development of the park system to the enjoyment of
all our residents.
Briefly state any specialized knowledge or prior experience you have that
would be useful in assisting the board or committee in accomplishing its
purpose.
Friends of Leash Optional Parks Treasurer Teacher of students with special needs.
Briefly state any experience you have in serving on any governmental board
or committee.
Winter Springs Code enforcement
Financial Disclosure Requirement
Leah R Weisman
Date of Birth
State Reporting Requirements
Ethnicity *
Caucasian/Non-Hispanic
Gender *
Female
Do you have a physical disability?
Yes No
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.
I Agree
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
I Agree
Acknowledgment
Please Agree with the Above
You agree that you have read and understood the above and further agree to
comply with noted requirements.
I Agree
10/11/1961
Leah R Weisman