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Majority of County Boards, Commissions and Committees meet during the day, however some meet in the evening. Additionally, some meet weekly, bi-weekly, or monthly. Will you be able to schedule your time accordingly?", "reading_order": 13 }, { "id": "p1.15", "order": 16, "type": "text", "bbox": { "l": 43.92, "t": 504.72, "r": 565.2, "b": 465.6 }, "text": "Yes ___ No ___ List any time restrictions: ___", "children": [ { "id": "p1.15.1", "order": 17, "type": "form_field", "bbox": { "l": 72.48, "t": 509.16, "r": 95.52, "b": 489.24 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "Check here if you can schedule time accordingly", "pdf_field_name": "Yes, I can", "source": "acroform", "text_offset": 4, "text_span": 3 }, "reading_order": 0 }, { "id": "p1.15.2", "order": 18, "type": "form_field", "bbox": { "l": 126, "t": 509.16, "r": 149.04, "b": 489.24 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "Check here if you CANNOT schedule time accordingly", "pdf_field_name": "No, I cannot", "source": "acroform", "text_offset": 11, "text_span": 3 }, "reading_order": 1 }, { "id": "p1.15.3", "order": 19, "type": "form_field", "bbox": { "l": 295.08, "t": 507.72, "r": 567.12, "b": 489.96 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "List any time restrictions", "source": "acroform", "label": "Yes ___ No ___ List any time restrictions: ___", "label_source": "parent_text", "label_ref": "p1.15", "text_offset": 43, "text_span": 3 }, "reading_order": 2 } ], "reading_order": 14 }, { "id": "p1.16", "order": 20, "type": "form_field", "bbox": { "l": 44.28, "t": 487.8, "r": 567.12, "b": 470.04 }, "text": "", "attrs": { "field_kind": "text", "label": "Additonal time restrictions", "pdf_field_name": "Additional time restrictions", "source": "acroform" }, "reading_order": 15 }, { "id": "p1.17", "order": 21, "type": "text", "bbox": { "l": 43.2, "t": 455.52, "r": 568.08, "b": 337.2 }, "text": "2. List all boards, commissions, committees, clubs and/or community or public organizations of which you are currently a member. (Attach a separate sheet if necessary)\nCommittee/Organization's Name Date Appointed", "reading_order": 16 }, { "id": "p1.18", "order": 22, "type": "form_field", "bbox": { "l": 45, "t": 414.24, "r": 437.76, "b": 396.48 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [1]", "pdf_field_name": "CommitteeOrganizations Name 1", "source": "acroform" }, "reading_order": 17 }, { "id": "p1.19", "order": 23, "type": "form_field", "bbox": { "l": 451.08, "t": 414.24, "r": 567.12, "b": 396.48 }, "text": "", "attrs": { "field_kind": "text", "label": "Date Appointed [1]", "pdf_field_name": "Date Appointed 1", "source": "acroform" }, "reading_order": 18 }, { "id": "p1.20", "order": 24, "type": "form_field", "bbox": { "l": 45, "t": 394.92, "r": 437.76, "b": 377.16 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [2]", "pdf_field_name": "CommitteeOrganizations Name 2", "source": "acroform" }, "reading_order": 19 }, { "id": "p1.21", "order": 25, "type": "form_field", "bbox": { "l": 451.08, "t": 394.92, "r": 567.12, "b": 377.16 }, "text": "", "attrs": { "field_kind": "text", "label": "Date Appointed [2]", "pdf_field_name": "Date Appointed 2", "source": "acroform" }, "reading_order": 20 }, { "id": "p1.22", "order": 26, "type": "form_field", "bbox": { "l": 45, "t": 376.56, "r": 437.76, "b": 358.8 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [3]", "pdf_field_name": "CommitteeOrganizations Name 3", "source": "acroform" }, "reading_order": 21 }, { "id": "p1.23", "order": 27, "type": "form_field", "bbox": { "l": 451.08, "t": 376.56, "r": 567.12, "b": 358.8 }, "text": "", "attrs": { "field_kind": "text", "label": "Date Appointed [3]", "pdf_field_name": "Date Appointed 3", "source": "acroform" }, "reading_order": 22 }, { "id": "p1.24", "order": 28, "type": "form_field", "bbox": { "l": 44.28, "t": 358.2, "r": 437.76, "b": 340.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [4]", "pdf_field_name": "CommitteeOrganizations Name 4", "source": "acroform" }, "reading_order": 23 }, { "id": "p1.25", "order": 29, "type": "form_field", "bbox": { "l": 450.36, "t": 358.2, "r": 567.12, "b": 340.44 }, "text": "", "attrs": { "field_kind": "text", "label": "Date Appointed [4]", "pdf_field_name": "Date Appointed 4", "source": "acroform" }, "reading_order": 24 }, { "id": "p1.26", "order": 30, "type": "text", "bbox": { "l": 43.2, "t": 326.16, "r": 567.84, "b": 206.88 }, "text": "3. List any past appointments to boards, commissions committees, clubs and/or community or public organizations to which you served. (Attach a separate sheet if necessary)\nCommittee/Organization's Name Dates Served", "reading_order": 25 }, { "id": "p1.27", "order": 31, "type": "form_field", "bbox": { "l": 45, "t": 284.64, "r": 438, "b": 266.88 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [1]", "pdf_field_name": "CommitteeOrganizations Name 1_2", "source": "acroform" }, "reading_order": 26 }, { "id": "p1.28", "order": 32, "type": "form_field", "bbox": { "l": 451.32, "t": 284.64, "r": 567.12, "b": 266.88 }, "text": "", "attrs": { "field_kind": "text", "label": "Dates Served [1]", "pdf_field_name": "Dates Served 1", "source": "acroform" }, "reading_order": 27 }, { "id": "p1.29", "order": 33, "type": "form_field", "bbox": { "l": 45, "t": 265.32, "r": 438, "b": 247.56 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [2]", "pdf_field_name": "CommitteeOrganizations Name 2_2", "source": "acroform" }, "reading_order": 28 }, { "id": "p1.30", "order": 34, "type": "form_field", "bbox": { "l": 451.32, "t": 265.32, "r": 567.12, "b": 247.56 }, "text": "", "attrs": { "field_kind": "text", "label": "Dates Served [2]", "pdf_field_name": "Dates Served 2", "source": "acroform" }, "reading_order": 29 }, { "id": "p1.31", "order": 35, "type": "form_field", "bbox": { "l": 45, "t": 246.84, "r": 438, "b": 229.08 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [3]", "pdf_field_name": "CommitteeOrganizations Name 3_2", "source": "acroform" }, "reading_order": 30 }, { "id": "p1.32", "order": 36, "type": "form_field", "bbox": { "l": 451.32, "t": 246.84, "r": 567.12, "b": 229.08 }, "text": "", "attrs": { "field_kind": "text", "label": "Dates Served [3]", "pdf_field_name": "Dates Served 3", "source": "acroform" }, "reading_order": 31 }, { "id": "p1.33", "order": 37, "type": "form_field", "bbox": { "l": 44.28, "t": 228.48, "r": 438, "b": 210.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Committee/Organization’s Name [4]", "pdf_field_name": "CommitteeOrganizations Name 4_2", "source": "acroform" }, "reading_order": 32 }, { "id": "p1.34", "order": 38, "type": "form_field", "bbox": { "l": 450.6, "t": 228.48, "r": 567.12, "b": 210.72 }, "text": "", "attrs": { "field_kind": "text", "label": "Dates Served [4]", "pdf_field_name": "Dates Served 4", "source": "acroform" }, "reading_order": 33 }, { "id": "p1.35", "order": 39, "type": "text", "bbox": { "l": 43.68, "t": 196.32, "r": 526.32, "b": 170.16 }, "text": "4. Provide any other experience, special knowledge or principal areas of interest in County Government that would be helpful in making this appointment.", "reading_order": 34 }, { "id": "p1.36", "order": 40, "type": "form_field", "bbox": { "l": 44.4956, "t": 166.799, "r": 567.052, "b": 94.27 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Experience, Special Knowledge", "source": "acroform" }, "reading_order": 35 } ] }, { "document_id": 10755, "page": 2, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 10866, "item_count": 105, "counts_by_type": { "form_field": 44, "heading": 2, "list": 1, "list_item": 3, "table": 1, "table_cell": 44, "text": 10 }, "build_ms": 4, "items": [ { "id": "p2.1", "order": 1, "type": "form_field", "bbox": { "l": 45, "t": 738.48, "r": 261.6, "b": 720.6 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Applicant Last Name", "source": "acroform" }, "reading_order": 0 }, { "id": "p2.2", "order": 2, "type": "form_field", "bbox": { "l": 274.92, "t": 738.48, "r": 486.12, "b": 720.6 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "First Name", "source": "acroform" }, "reading_order": 1 }, { "id": "p2.3", "order": 3, "type": "form_field", "bbox": { "l": 490.92, "t": 738.48, "r": 567.12, "b": 720.6 }, "text": "", "attrs": { "field_kind": "text", "label": "Mr. / Mrs. / Ms.", "pdf_field_name": "Mr. / Mrs. / Ms", "source": "acroform" }, "reading_order": 2 }, { "id": "p2.4", "order": 4, "type": "text", "bbox": { "l": 44.88, "t": 720.48, "r": 562.8, "b": 707.04 }, "text": "Last Name First Name Mr./Mrs./Ms.", "reading_order": 3 }, { "id": "p2.5", "order": 5, "type": "form_field", "bbox": { "l": 45.7163, "t": 707.364, "r": 567.418, "b": 689.604 }, "text": "", "attrs": { "field_kind": "text", "label": "Name of Board, Committee, Commission", "pdf_field_name": "Name of Board, Committee, Commission to which you are applying", "source": "acroform" }, "reading_order": 4 }, { "id": "p2.6", "order": 6, "type": "text", "bbox": { "l": 42.24, "t": 688.32, "r": 379.92, "b": 674.64 }, "text": "Name of Board, Committee, or Commission to which you are applying", "reading_order": 5 }, { "id": "p2.7", "order": 7, "type": "text", "bbox": { "l": 43.44, "t": 658.32, "r": 574.32, "b": 618.72 }, "text": "5. Briefly explain why you would you like to be appointed to this committee and what 3 primary areas of concern do you feel should be addressed by this committee? Rank with the most critical at the beginning of the list.", "reading_order": 6 }, { "id": "p2.8", "order": 8, "type": "text", "bbox": { "l": 52.08, "t": 610.8, "r": 578.88, "b": 594.96 }, "text": "Why?", "children": [ { "id": "p2.8.1", "order": 9, "type": "form_field", "bbox": { "l": 90.84, "t": 615.72, "r": 577.92, "b": 597.84 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "Why do you want this appointment?", "source": "acroform", "label": "Why?", "label_source": "parent_text", "label_ref": "p2.8", "text_offset": 4, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 7 }, { "id": "p2.9", "order": 10, "type": "list", "bbox": { "l": 72.72, "t": 586.8, "r": 578.88, "b": 528 }, "text": "", "attrs": { "item_count": 3 }, "children": [ { "id": "p2.9.1", "order": 11, "type": "list_item", "bbox": { "l": 72.72, "t": 586.8, "r": 578.64, "b": 573.12 }, "text": "___", "marker": "a.", "children": [ { "id": "p2.9.1.1", "order": 12, "type": "form_field", "bbox": { "l": 90.84, "t": 593.28, "r": 577.92, "b": 575.4 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "1st area of concern", "source": "acroform" }, "reading_order": 0 } ], "reading_order": 0 }, { "id": "p2.9.2", "order": 13, "type": "list_item", "bbox": { "l": 72.96, "t": 566.16, "r": 578.88, "b": 550.56 }, "text": "___", "marker": "b.", "children": [ { "id": "p2.9.2.1", "order": 14, "type": "form_field", "bbox": { "l": 90.84, "t": 570.84, "r": 577.92, "b": 552.96 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "2nd area of concern", "source": "acroform" }, "reading_order": 0 } ], "reading_order": 1 }, { "id": "p2.9.3", "order": 15, "type": "list_item", "bbox": { "l": 73.68, "t": 542.4, "r": 578.64, "b": 528 }, "text": "___", "marker": "C.", "children": [ { "id": "p2.9.3.1", "order": 16, "type": "form_field", "bbox": { "l": 90.12, "t": 548.52, "r": 577.92, "b": 530.64 }, "text": "", "attrs": { "field_kind": "text", "pdf_field_name": "3rd area of concern", "source": "acroform" }, "reading_order": 0 } ], "reading_order": 2 } ], "reading_order": 8 }, { "id": "p2.10", "order": 17, "type": "heading", "bbox": { "l": 45.9, "t": 501.5169, "r": 233.073123, "b": 489.26322 }, "text": "6. OCCUPATION AND EDUCATION", "attrs": { "split_from": "leading_line" }, "level": 3, "reading_order": 9 }, { "id": "p2.11", "order": 18, "type": "text", "bbox": { "l": 43.2, "t": 489.26322, "r": 235.44, "b": 488.4 }, "text": "← Place a mark in this box if you are retired.", "reading_order": 10 }, { "id": "p2.12", "order": 19, "type": "text", "bbox": { "l": 255.6, "t": 511.68, "r": 501.84, "b": 488.88 }, "text": "□\n\n← Place a mark in this box if you are retired.", "children": [ { "id": "p2.12.1", "order": 20, "type": "form_field", "bbox": { "l": 257.76, "t": 511.68, "r": 280.8, "b": 488.52 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "□\n\n← Place a mark in this box if you are retired.", "pdf_field_name": "Mark this box if you are retired", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.12", "text_offset": 0, "text_span": 1 }, "reading_order": 0 } ], "reading_order": 11 }, { "id": "p2.13", "order": 21, "type": "form_field", "bbox": { "l": 45, "t": 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"Fax #", "pdf_field_name": "Fax Number", "source": "acroform", "label_source": "parent_text", "label_ref": "p3.13" }, "reading_order": 0 } ], "reading_order": 12 }, { "id": "p3.14", "order": 48, "type": "footnote", "bbox": { "l": 48, "t": 392.64, "r": 572.16, "b": 380.16 }, "text": "[p3.14.1]Please note which number above is your primary by marking the first radio button or secondary by marking the second radio button.", "attrs": { "block_label": "vision_footnote" }, "children": [ { "id": "p3.14.1", "order": 49, "type": "text", "bbox": { "l": 48, "t": 392.64, "r": 572.16, "b": 380.16 }, "text": "^{*}", "attrs": { "inline": true, "text_offset": 0, "text_span": 9, "bbox_estimated": true }, "reading_order": 0 } ], "reading_order": 13 } ] } ] }