Loading...
HomeMy WebLinkAbout2025 01 16 Dillman, Paul ApplicationSubmit Date: Jan 16, 2025 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? Veteran and Veteran Family 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? 9 1/2 years Paul H Dillman 388 Twelve Oaks Dr Winter Springs FL 32708 pdillman1@gmail.com Mobile: (913) 240-9677 Paul H Dillman Please upload a copy of one of the following: Military/Veteran ID OR proof of organization serving veterans & your role 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 Question applies to Veteran and Veteran Family Advisory Committee Select one of the following * Leader of a veteran organization based in Winter Springs If yes to the above, please provide relation Commander, Winter Springs VFW Post 5405 Question applies to Veteran and Veteran Family Advisory Committee Interest & Experiences Why are you interested in serving on a board or committee? Provide Veterans in our community the representation they deserve Dillman_DD214.pdf Paul H Dillman Date of Birth Briefly state any specialized knowledge or prior experience you have that would be useful in assisting the board or committee in accomplishing its purpose. I’ve been employed by the United States Army for 40 years. Both as a civilian and Soldier. I’ve been an officer at the Veterans of Foreign Wars for three years. I’m well connected with Veterans. Briefly state any experience you have in serving on any governmental board or committee. I have never been on a governmental board or committee Financial Disclosure Requirement State Reporting Requirements Ethnicity * Prefer not to Answer Gender * Male 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 08/30/1963 Paul H Dillman 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 Paul H Dillman