[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 227.76, "t": 745.2, "r": 522.48, "b": 696.72 }, "text": "APPLICATION FOR APPOINTMENT TO COUNTY OF MADERa BOARDS, COMMISSIONS OR COMMITTEES", "reading_order": 0, "level": 1 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 490.56, "t": 644.777, "r": 567.12, "b": 627.017 }, "text": "Mr. / Mrs. / Ms.", "field_kind": "text", "label": "Mr. / Mrs. / Ms.", "pdf_field_name": "Mr. / Mrs. / Ms", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 46.08, "t": 633.36, "r": 292.56, "b": 620.16 }, "text": "L act Namo", "reading_order": 2 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 644.4, "r": 292.08, "b": 626.64 }, "text": "Applicant Last Name", "field_kind": "text", "label": "Applicant Last Name", "pdf_field_name": "Applicant Last Name", "pdf_field_type": "Text", "reading_order": 3 }, { "page": 1, "type": "TEXT", "location": { "l": 43.92, "t": 625.68, "r": 358.8, "b": 614.16 }, "text": "Last Name First Name", "reading_order": 4 }, { "page": 1, "type": "TEXT", "location": { "l": 390.72, "t": 632.64, "r": 480, "b": 624.48 }, "text": "。", "reading_order": 5 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 305.4, "t": 644.4, "r": 477.24, "b": 626.64 }, "text": "First Name", "field_kind": "text", "label": "First Name", "pdf_field_name": "First Name", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "TEXT", "location": { "l": 489.12, "t": 625.44, "r": 560.16, "b": 614.16 }, "text": "Mr. / Mrs. / Ms.", "reading_order": 7 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 611.4, "r": 419.64, "b": 593.64 }, "text": "Name of Board, Committee, Commission", "field_kind": "text", "label": "Name of Board, Committee, Commission", "pdf_field_name": "Name of Board, Committee, Commission to which you are applying", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 432.96, "t": 611.4, "r": 567.12, "b": 593.64 }, "text": "Supervisorial District?", "field_kind": "text", "label": "Supervisorial District?", "pdf_field_name": "Supervisorial District?", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 43.44, "t": 592.8, "r": 380.16, "b": 580.8 }, "text": "Name of Board, Committee, or Commission to which you are applying\nWhat or whose", "reading_order": 10 }, { "page": 1, "type": "TEXT", "location": { "l": 436.8, "t": 592.56, "r": 504, "b": 582.96 }, "text": "What or whose", "reading_order": 11 }, { "page": 1, "type": "TEXT", "location": { "l": 436.56, "t": 582.24, "r": 562.56, "b": 561.84 }, "text": "Supervisorial District do you reside in?", "reading_order": 12 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 44.64, "t": 546.48, "r": 559.92, "b": 509.04 }, "text": "1. 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?", "marker": "1.", "list_id": "L1", "level": 0, "reading_order": 13 }, { "page": 1, "type": "TEXT", "location": { "l": 43.92, "t": 504.72, "r": 565.2, "b": 465.6 }, "text": "Yes ___ No ___ List any time restrictions: ___", "reading_order": 14 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72.48, "t": 509.16, "r": 95.52, "b": 489.24 }, "text": "Check here if you can schedule time accordingly", "field_kind": "checkbox", "label": "Check here if you can schedule time accordingly", "pdf_field_name": "Yes, I can", "pdf_field_type": "CheckBox", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 126, "t": 509.16, "r": 149.04, "b": 489.24 }, "text": "Check here if you CANNOT schedule time accordingly", "field_kind": "checkbox", "label": "Check here if you CANNOT schedule time accordingly", "pdf_field_name": "No, I cannot", "pdf_field_type": "CheckBox", "reading_order": 16 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 295.08, "t": 507.72, "r": 567.12, "b": 489.96 }, "text": "List any time restrictions", "field_kind": "text", "label": "List any time restrictions", "pdf_field_name": "List any time restrictions", "pdf_field_type": "Text", "reading_order": 17 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 44.28, "t": 487.8, "r": 567.12, "b": 470.04 }, "text": "Additonal time restrictions", "field_kind": "text", "label": "Additonal time restrictions", "pdf_field_name": "Additional time restrictions", "pdf_field_type": "Text", "reading_order": 18 }, { "page": 1, "type": "LIST_ITEM", "location": { "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", "marker": "2.", "list_id": "L2", "level": 0, "reading_order": 19 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 414.24, "r": 437.76, "b": 396.48 }, "text": "Committee/Organization’s Name [1]", "field_kind": "text", "label": "Committee/Organization’s Name [1]", "pdf_field_name": "CommitteeOrganizations Name 1", "pdf_field_type": "Text", "reading_order": 20 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.08, "t": 414.24, "r": 567.12, "b": 396.48 }, "text": "Date Appointed [1]", "field_kind": "text", "label": "Date Appointed [1]", "pdf_field_name": "Date Appointed 1", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 394.92, "r": 437.76, "b": 377.16 }, "text": "Committee/Organization’s Name [2]", "field_kind": "text", "label": "Committee/Organization’s Name [2]", "pdf_field_name": "CommitteeOrganizations Name 2", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.08, "t": 394.92, "r": 567.12, "b": 377.16 }, "text": "Date Appointed [2]", "field_kind": "text", "label": "Date Appointed [2]", "pdf_field_name": "Date Appointed 2", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 376.56, "r": 437.76, "b": 358.8 }, "text": "Committee/Organization’s Name [3]", "field_kind": "text", "label": "Committee/Organization’s Name [3]", "pdf_field_name": "CommitteeOrganizations Name 3", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.08, "t": 376.56, "r": 567.12, "b": 358.8 }, "text": "Date Appointed [3]", "field_kind": "text", "label": "Date Appointed [3]", "pdf_field_name": "Date Appointed 3", "pdf_field_type": "Text", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 44.28, "t": 358.2, "r": 437.76, "b": 340.44 }, "text": "Committee/Organization’s Name [4]", "field_kind": "text", "label": "Committee/Organization’s Name [4]", "pdf_field_name": "CommitteeOrganizations Name 4", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 450.36, "t": 358.2, "r": 567.12, "b": 340.44 }, "text": "Date Appointed [4]", "field_kind": "text", "label": "Date Appointed [4]", "pdf_field_name": "Date Appointed 4", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "LIST_ITEM", "location": { "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", "marker": "3.", "list_id": "L3", "level": 0, "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 284.64, "r": 438, "b": 266.88 }, "text": "Committee/Organization’s Name [1]", "field_kind": "text", "label": "Committee/Organization’s Name [1]", "pdf_field_name": "CommitteeOrganizations Name 1_2", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.32, "t": 284.64, "r": 567.12, "b": 266.88 }, "text": "Dates Served [1]", "field_kind": "text", "label": "Dates Served [1]", "pdf_field_name": "Dates Served 1", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 265.32, "r": 438, "b": 247.56 }, "text": "Committee/Organization’s Name [2]", "field_kind": "text", "label": "Committee/Organization’s Name [2]", "pdf_field_name": "CommitteeOrganizations Name 2_2", "pdf_field_type": "Text", "reading_order": 31 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.32, "t": 265.32, "r": 567.12, "b": 247.56 }, "text": "Dates Served [2]", "field_kind": "text", "label": "Dates Served [2]", "pdf_field_name": "Dates Served 2", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 45, "t": 246.84, "r": 438, "b": 229.08 }, "text": "Committee/Organization’s Name [3]", "field_kind": "text", "label": "Committee/Organization’s Name [3]", "pdf_field_name": "CommitteeOrganizations Name 3_2", "pdf_field_type": "Text", "reading_order": 33 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.32, "t": 246.84, "r": 567.12, "b": 229.08 }, "text": "Dates Served [3]", "field_kind": "text", "label": "Dates Served [3]", "pdf_field_name": "Dates Served 3", "pdf_field_type": "Text", "reading_order": 34 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 44.28, "t": 228.48, "r": 438, "b": 210.72 }, "text": "Committee/Organization’s Name [4]", "field_kind": "text", "label": "Committee/Organization’s Name [4]", "pdf_field_name": "CommitteeOrganizations Name 4_2", "pdf_field_type": "Text", "reading_order": 35 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 450.6, "t": 228.48, "r": 567.12, "b": 210.72 }, "text": "Dates Served [4]", "field_kind": "text", "label": "Dates Served [4]", "pdf_field_name": "Dates Served 4", "pdf_field_type": "Text", "reading_order": 36 }, { "page": 1, "type": "LIST_ITEM", "location": { "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.", "marker": "4.", "list_id": "L4", "level": 0, "reading_order": 37 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 44.4956, "t": 166.799, "r": 567.052, "b": 94.27 }, "text": "Experience, Special Knowledge", "field_kind": "text", "label": "Experience, Special Knowledge", "pdf_field_name": "Experience, Special Knowledge", "pdf_field_type": "Text", "reading_order": 38 } ] }, { "page": 2, "items": [ { "page": 2, "type": "FORM_FIELD", "location": { "l": 45, "t": 738.48, "r": 261.6, "b": 720.6 }, "text": "Applicant Last Name", "field_kind": "text", "label": "Applicant Last Name", "pdf_field_name": "Applicant Last Name", "pdf_field_type": "Text", "reading_order": 0 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 274.92, "t": 738.48, "r": 486.12, "b": 720.6 }, "text": "First Name", "field_kind": "text", "label": "First Name", "pdf_field_name": "First Name", "pdf_field_type": "Text", "reading_order": 1 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 490.92, "t": 738.48, "r": 567.12, "b": 720.6 }, "text": "Mr. / Mrs. / Ms.", "field_kind": "text", "label": "Mr. / Mrs. / Ms.", "pdf_field_name": "Mr. / Mrs. / Ms", "pdf_field_type": "Text", "reading_order": 2 }, { "page": 2, "type": "TEXT", "location": { "l": 44.88, "t": 720.48, "r": 562.8, "b": 707.04 }, "text": "Last Name First Name Mr./Mrs./Ms.", "reading_order": 3 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 45.7163, "t": 707.364, "r": 567.418, "b": 689.604 }, "text": "Name of Board, Committee, Commission", "field_kind": "text", "label": "Name of Board, Committee, Commission", "pdf_field_name": "Name of Board, Committee, Commission to which you are applying", "pdf_field_type": "Text", "reading_order": 4 }, { "page": 2, "type": "TEXT", "location": { "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 }, { "page": 2, "type": "LIST_ITEM", "location": { "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.", "marker": "5.", "list_id": "L4", "level": 0, "reading_order": 6 }, { "page": 2, "type": "TEXT", "location": { "l": 52.08, "t": 610.8, "r": 578.88, "b": 594.96 }, "text": "Why?", "reading_order": 7 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 90.84, "t": 615.72, "r": 577.92, "b": 597.84 }, "text": "Why do you want this appointment?", "field_kind": "text", "label": "Why do you want this appointment?", "pdf_field_name": "Why do you want this appointment?", "pdf_field_type": "Text", "reading_order": 8 }, { "page": 2, "type": "TEXT", "location": { "l": 72.72, "t": 586.8, "r": 578.64, "b": 573.12 }, "text": "a. ___", "reading_order": 9 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 90.84, "t": 593.28, "r": 577.92, "b": 575.4 }, "text": "1st area of concern", "field_kind": "text", "label": "1st area of concern", "pdf_field_name": "1st area of concern", "pdf_field_type": "Text", "reading_order": 10 }, { "page": 2, "type": "TEXT", "location": { "l": 72.96, "t": 566.16, "r": 578.88, "b": 550.56 }, "text": "b. ___", "reading_order": 11 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 90.84, "t": 570.84, "r": 577.92, "b": 552.96 }, "text": "2nd area of concern", "field_kind": "text", "label": "2nd area of concern", "pdf_field_name": "2nd area of concern", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 2, "type": "TEXT", "location": { "l": 73.68, "t": 542.4, "r": 578.64, "b": 528 }, "text": "C. ___", "reading_order": 13 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 90.12, "t": 548.52, "r": 577.92, "b": 530.64 }, "text": "3rd area of concern", "field_kind": "text", "label": "3rd area of concern", "pdf_field_name": "3rd area of concern", "pdf_field_type": "Text", "reading_order": 14 }, { "page": 2, "type": "LIST_ITEM", "location": { "l": 43.2, "t": 503.52, "r": 235.44, "b": 488.4 }, "text": "6. OCCUPATION AND EDUCATION\n← Place a mark in this box if you are retired.", "marker": "6.", "list_id": "L5", "level": 0, "reading_order": 15 }, { "page": 2, "type": "TEXT", "location": { "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.", "reading_order": 16 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 257.76, "t": 511.68, "r": 280.8, "b": 488.52 }, "text": "Place a mark in this box if you are retired", "field_kind": "checkbox", "label": "Place a mark in this box if you are retired", "pdf_field_name": "Mark this box if you are retired", "pdf_field_type": "CheckBox", "reading_order": 17 }, { "page": 2, "type": "TEXT", "location": { "l": 42.48, "t": 467.04, "r": 131.76, "b": 453.12 }, "text": "Current Employer", "reading_order": 18 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 45, "t": 484.68, "r": 567.12, "b": 466.8 }, "text": "Current Employer", "field_kind": "text", "label": "Current Employer", "pdf_field_name": "Current Employer", "pdf_field_type": "Text", "reading_order": 19 }, { "page": 2, "type": "TEXT", "location": { "l": 43.92, "t": 450.96, "r": 568.8, "b": 394.176 }, "text": "Job Title Length of Employment", "reading_order": 20 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 45, "t": 451.68, "r": 480.84, "b": 433.8 }, "text": "Job Title", "field_kind": "text", "label": "Job Title", "pdf_field_name": "Job Title", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 494.16, "t": 451.68, "r": 567.12, "b": 433.8 }, "text": "Length of Employment?", "field_kind": "text", "label": "Length of Employment?", "pdf_field_name": "Length of Employment?", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 2, "type": "TEXT", "location": { "l": 43.92, "t": 422.568, "r": 463.824, "b": 394.176 }, "text": "Previous Employers Position/Job Title Name of City/County Length of Employment", "reading_order": 23 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 45, "t": 368.88, "r": 211.68, "b": 351 }, "text": "Previous Employers [1]", "field_kind": "text", "label": "Previous Employers [1]", "pdf_field_name": "Previous Employers 1", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 225, "t": 368.88, "r": 382.92, "b": 351 }, "text": "Position/Job Title [1]", "field_kind": "text", "label": "Position/Job Title [1]", "pdf_field_name": "PositionJob Title 1", "pdf_field_type": "Text", "reading_order": 25 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 396.12, "t": 368.88, "r": 483.84, "b": 351 }, "text": "City/County [1]", "field_kind": "text", "label": "City/County [1]", "pdf_field_name": "CityCounty 1", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 495.48, "t": 368.88, "r": 567.12, "b": 351 }, "text": "Employment [1]", "field_kind": "text", "label": "Employment [1]", "pdf_field_name": "Employment 1", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 45, "t": 349.56, "r": 211.68, "b": 331.68 }, "text": "Previous Employers [2]", "field_kind": "text", "label": "Previous Employers [2]", "pdf_field_name": "Previous Employers 2", "pdf_field_type": "Text", "reading_order": 28 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 225, "t": 349.56, "r": 382.92, "b": 331.68 }, "text": "Position/Job Title [2]", "field_kind": "text", "label": "Position/Job Title [2]", "pdf_field_name": "PositionJob Title 2", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 396.12, "t": 349.56, "r": 483.84, "b": 331.68 }, "text": "City/County [2]", "field_kind": "text", "label": "City/County [2]", "pdf_field_name": "CityCounty 2", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 495.48, "t": 349.56, "r": 567.12, "b": 331.68 }, "text": "Employment [2]", "field_kind": "text", "label": "Employment [2]", "pdf_field_name": "Employment 2", "pdf_field_type": "Text", "reading_order": 31 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 45, "t": 331.08, "r": 211.68, "b": 313.32 }, "text": "Previous Employers [3]", "field_kind": "text", "label": "Previous Employers [3]", "pdf_field_name": "Previous Employers 3", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 225, "t": 331.08, "r": 382.92, "b": 313.32 }, "text": "Position/Job Title [3]", "field_kind": "text", "label": "Position/Job Title [3]", "pdf_field_name": "PositionJob Title 3", "pdf_field_type": "Text", "reading_order": 33 }, { "page": 2, "type": "FORM_FIELD", "location": { "l": 396.12, "t": 331.08, "r": 483.84, "b": 313.32 }, "text": "City/County [3]", "field_kind": "text", "label": "City/County [3]", "pdf_field_name": "CityCounty 3", "pdf_field_type": "Text", "reading_order": 34 }, { "page": 2, "type": 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