Laserfiche WebLink
<br />Dle 5.2002 8 05AM <br /> <br />NO. 2100 <br /> <br />P. 2 <br />lfn <br /> <br />1 , <br />. '-~~-_._----- <br /> <br />~ <br />~HILLS <br /> <br />. <br /> <br />City Committee Application Form <br />Dale 1'.;,( /~~ 1e.2. <br />. . <br /> <br />General Information <br /> <br />5w/-liJ ~c;''YV <br />Last <br /> <br />liNin <br /> <br />t11 <br />M.I <br /> <br />Name <br /> <br />Email Address <br /> <br />First <br />/food <br />5S 1/2- <br />Work <br />Fax Fax <br />/<//Jd"-??,~ ..J 6J //fr:)4~S-dX...C?iJe, ~ <br /> <br /> <br /> <br />Address <br /> <br />City, Slate, ZIP <br /> <br />Phone Numbers <br /> <br />Committees <br />If you wish 10 be; COD3idcn:d for mOTC than one committee) p1c-asc order in numb~r or preference. <br /> <br />Communications <br /> <br />Parks, Trails, & Recreation (PTRC) <br /> <br />City Events Task Force <br /> <br />::x <br /> <br />Operations & Finance <br />Planning Commission <br />Website Task Force <br /> <br />. <br /> <br />Special Interests <br />As Ihe Council prioritizes its goals, it may c.eate additionaL/new committees or Ill!!'k. flHees from time to time. If you <br />bave: olhel specific areas or lopics of interc:st pleue iodicat~ tho~e lnlcrcslJ and Wt will retain yO'W' a.pplication for <br />future openings in those BreIS: &!i new committees ue created. <br /> <br />Other Interests <br /> <br />Personal Information <br /> <br />List your work experienee. <br />l.e9a1 r 13t.M ;'7n, <br /> <br />/l/Jayl JVJ ' <br />I <br /> <br />L1<<SI/1I'SS &/7.0///41',171 <br /> <br />Cil)' Commitlce Application Fonn <br /> <br />Page 1 oi2 <br /> <br />. <br />