John's Landing Homeowners Association Committee Member Application Please note: Owners delinquent on HOA Dues and those with property violations are not eligible to serve on any committee. The purpose of this form is to provide homeowners with a method of recommending themselves to be on an HOA committee. This form will be reviewed by the Board of Directors, if such a need may present itself, for the Board to select potential candidates. I hereby place my name in nomination as a candidate for the following committee: Choose Committee * —Please choose an option—Architectural Review Board (ARB) CommitteeDigital Media CommitteeFine CommitteeSafety & Security CommitteeSocial Events CommitteeTowing CommitteeViolation CommitteeWelcome Committee Owner Full Name (as shown on deed) * Street Address * —Please choose an option—Cura CtJohns Landing WayLargovista DrOrionvista WayRegina CirStrihal Loop Oakland FL 34787 Mailing Address (if different from above) Telephone * Email * Candidate Information Statement I understand that I am responsible for the accuracy of the information contained in the Information Statement. Personal Background * Prior HOA/Committee Experience * Additional Applicable Experience * Candidate Certification I certify that I have read and understand to the best of my ability the declaration of covenants and restrictions, bylaws, articles of incorporation and current written policies, that I will work to uphold such documents and policies to the best of my ability, and that I will faithfully discharge my fiduciary responsibility to the association's members. Full Name * Signature * Typing your full name will constitute your e-signature Date * * I hereby declare that the above information is correct. BEFORE SUBMITTING: Please check that all required fields marked with an * are answered, have information entered. If not, form submission will fail.