National Marine Sanctuary Advisory Council Application F

NATIONAL MARINE SANCTUARY ADVISORY COUNCIL
APPLICATION FORM
Before applying for advisory council membership, please review
the advisory council charter provided in your application kit,
and the ONMS Sanctuary Advisory Council Implementation Handbook
available online at
http://www.sanctuaries.noaa.gov/management/ac/acref.html (or you
may obtain a copy from your local sanctuary – see contact
information below). The council charter outlines the purposes
and governs the operation of the council; the handbook provides
broader operational requirements for councils. In applying for
council membership, you are agreeing to abide by the terms of the
charter and the handbook if you are selected as a member or
alternate. As a part of the selection process, please note the
Office of National Marine Sanctuaries (ONMS) will conduct a
LEXIS/NEXIS check and a departmental bureau check for potential
conflict of interest and other issues in your background. Also
review the information provided at the end of this form; it
contains important guidance with regard to the information you
submit on this form and its availability under federal law.
Council members and alternates must be 18 years of age or
older. The complexity of the issues addressed by
sanctuaries and councils, the ability to effectively
network with all ages of constituents, and the ability to
travel to and attend meetings and retreats all necessitate
this minimum age limit.
Please note that under federal law, federal government employees
are not allowed to sit on the advisory councils in a personal
capacity. State employees are allowed to sit on the advisory
councils in a personal capacity, but must include letters of
support on agency letterhead from their state supervisors.
Please indicate which seat(s) you are applying for, provide your
contact information, and respond to the questions below. The
ONMS may consider applicants for seats for which they have not
applied if the ONMS believes they are qualified for that seat and
are willing to serve in it.
The application deadline is [date]. Please return all pages of
this application to [fill in with local contact information].

Date: _____________

First Name*:______________ Middle _____________ Last ___________
* Please include full first, middle and last names.

Seat(s) applying for: _____ Agriculture _____ Business/Industry
____ Conservation _____ Diving _____ Education _____ Fishing
____ Other Recreational _____ Research _____ At-Large

Home Address:____________________________________________________
_________________________________________________________________
Home Phone:______________________________________________________
Home Fax: ________________________

Home E-mail: ________________

Work Address (include company/organization name):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Work Phone:

____________________________________________________

Work Fax: ________________________

Work E-mail: ________________

Please thoroughly address each of the following in an attached
statement:
1. Reasons for interest in serving on the council, including a
statement of guiding views regarding protection and management
of marine or Great Lake resources
2. Formal community and professional affiliations and employment
3. Length of residence in area affected by the sanctuary, and if
a year-round or seasonal resident of the area
4. Previous attendance of council and/or working group meetings
5. Particular expertise and experience germane to the goals and
uses of the sanctuary, particularly in relation to the seat(s)
for which you are applying
6. Description of your views of what the role of the council is,
and how you will work to best support the sanctuary while on
the council
7. Description of the amount of time you have to devote to
council activities (council meetings, subcommittee meetings,
working group meetings, council retreats, chairing
subcommittee or working groups, reviewing written materials,
constituent outreach)

8. Description of how you will coordinate with, consult with, and
inform the members of the constituency you will represent
9. Other qualifications or information relevant to membership on
the council

The information obtained through this application process will be
used to determine the qualifications of the applicant for
membership on the sanctuary advisory council. The ONMS intends
affirmatively to disclose the applications only to ONMS staff and
other members of the review panel. However, the ONMS may be
required to disclose the applications in response to a court
order, a congressional request, or a request from the public
under the Freedom of Information Act (FOIA). If disclosure is
requested under the FOIA, the ONMS will endeavor to protect the
privacy of applicants by withholding personal information such as
home addresses and telephone numbers. In contrast, statements of
philosophy or opinions contained in the application would likely
be released. Applying for membership on the council is
voluntary.
Public reporting burden for this collection of information is
estimated to average one hour per response, including the time
for reviewing instructions, searching existing data sources,
gathering the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to Office of
National Marine Sanctuaries, 1305 East West Highway, N/ORM6,
Silver Spring, Maryland 20910.
Notwithstanding any other provision of law, no person is required
to respond to, nor shall any person be subject to a penalty for
failure to comply with, a collection of information subject to
the requirements of the Paperwork Reduction Act, unless that
collection of information displays a currently valid OMB Control
Number.
OMB Control #0648-0397
Expires [insert new date]