Laserfiche WebLink
<br />01/24/02 THU 08:12 PAX <br /> <br />FAX L4000 <br /> <br />Ii!I 001 <br /> <br />e <br /> <br />~ <br />~HILLS <br /> <br />CITY APPLICATION FORM <br />ADVISORY COMMITTEE, COMMISSION, TASK FORCE <br /> <br />DATE: I' Z 4, OZ- How did you learn of vacancy? sS. <br /> <br />NAME: L-z.... Mode..c,f'-Ik- <br /> <br />ADDRESS: 7:>7'-/2:, N~\5Ir~~ "R.,\ <br /> <br />PHONE: (n:::;J.(o.<,) ''30!P7 (H) 7/~~.:5It/''17CYC; (W) <br /> <br />7/D:" SI t..{. 'Zf(P07 (FAX) J tUaJ.p....:Ik.fl/f1cO",,8~~-Mail) <br /> <br />ADVISORY COMMITTEES: <br />(If you wish to be considered for more than one committee, plea", order in number of <br />preference. ) <br /> <br /> <br />e <br /> <br />Commnnications Committee <br /> <br />Operations & Finance <br />Committee <br /> <br />Parks, Trails & Recreation <br />Committee <br /> <br />r, <br /> <br />Planning Commission <br /> <br />SPECIFIC INTERESTS: <br />(As the Council prioritizes its goals, it maycreate additionallnew committees or task forces <br />from time to time, If you are interested in any of the following or if you share auy other <br />specific areas or topics of interest, we will retain your application for future openings in those <br />areas as new committees are created,) <br /> <br />_ City Events Task Force <br /> <br />L Maintenance Facility Task Force <br /> <br />Website Task Force <br /> <br />Other Interests: <br /> <br />(continued) <br /> <br />WORK EXPERIENCE: <br />-Pro ied r1 CUt a ~ - fl!c {"v vrf- c.!"Ma<1-r.;of-, ''^^- <br /> <br />. <br />