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<br />e <br /> <br />e <br /> <br />e <br /> <br />~ <br />~~HILLS <br /> <br />CITY APPLICATION FORM <br />ADVISORY COMMITTEE, COMMISSION, TASK FORCE <br /> <br />DATE: ~/~ 0 /.....-, How did you learn of vacancy? JJ '" iN.o: & '" C (" p-- <br />/ / ' <br />NAME: ~ -<Z ^ !? .~ /' ~ /c ~J: <br /> <br />ADDRESS: '-:.? =3 2.4' )_<:?f f' ,/3 h//Ph n q g Iv) <br />Ard<,-'1 ;'////s;~n1-J <br />PHONE: t? .b/-h.:3~-C6..57(H) ,(,~~/-?~.s- )/~) (W) <br /> <br />,;'';-/-7??--37t./ (FAX),fbezd;~ek.@ (E-Mail) <br />rr e ;-711 ef-hah J;~.. GO r?I... <br />ADVISORY COMMITTEES: <br />(If you wish to be considered for more than one committee, please order in number of <br />preference. ) <br /> <br />Communications Committee <br /> <br />Operations & Finance <br />Committee <br /> <br />Parks, Trails & Recreation <br />Committee <br /> <br />v/ <br /> <br />Planning Commission <br /> <br />SPECIFIC INTERESTS: <br />(As the Council prioritizes its goals, it may create additional/new committees or task forces <br />from time to time. If you are interested in any of the following or if you share any other <br />specific areas or topics of interest, we will retain your application for future openings in <br />those areas as new committees are created.) <br /> <br />_ City Events Task Force <br /> <br />_ Maintenance Facility Task Force <br /> <br />Website Task Force <br /> <br />Other Interests: <br /> <br />(continued) <br /> <br />WORK EXPERIENCE: <br /> <br />/1 <br />,~<.< ('7, 1'77 y'/"I <br />;</ ' ' <br />.< cP.t///r)hS <br /> <br />(';--c/al ga>7I-'/~"'1 :29'y,cc:o-$,. <br />d" / <br />',t-/(,/NJP'J C /J vnr-n of'..-cc/a/ <br /> <br />/.p >? all Y <br /> <br />a- /7 J <br /> <br />yo ,gy: / tf' h tl' / <br /> <br />vY7 ff -'? pc j7./ ,,~ ""h./, <br />