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EN HILLS <br /> City Committee Application Form <br /> Date <br /> General Information <br /> Name Gdo'L,,— <br /> Last First M.I. <br /> Address yl-(C�( T.nc �Z D6kcs TC-W'I <br /> City, State, ZIP R'((S , y,{\3 <br /> Phone Numbers Home L,!it —(=�'� --?OLO Work <br /> Fax Fax <br /> Email Address j ,5,to ib l,,-C&�' C-S�p j %. eAc) <br /> Committees <br /> If you wish to be considered for more than one committee, please order in number of preference. <br /> Communications (Newsletter) <br /> Parks, Trails, &Recreation (PTRC) <br /> City Events Task Force <br /> Election Judge <br /> 1- MI V1111V lJ l.V IiLVIllL1Cil1L \.V111S 111JJ1V 11 <br /> Planning Commission <br /> Special Interests <br /> As the Council prioritizes its goals, it may create additional/new committees or task forces from time to time. If you <br /> have other specific areas or topics of interest please indicate those interests and we will retain your application for <br /> future openings in those areas as new committees are created. <br /> Other Interests <br /> Personal Information <br /> List your work experience. <br /> { <br /> LI�sS, <br /> City Committee Application Form Page I of 2 <br />