Laserfiche WebLink
<br />tit <br /> <br />tit <br /> <br />. <br /> <br />vvn <br /> <br />~ <br />~LS <br /> <br />:] 2c,r~ <br /> <br />City Committee Application Form <br />Date !I.Zz..~ <br /> <br />General Information <br /> <br />Name <br /> <br />L4~~ U,4V7f!JN A <br />Last I First M.l. <br /> <br />M~~~~1 t1~ D~2-'1I~67/~ <br /> <br />Home&,S-I.I,Zg . ~'R(? Work7l7~. 7~7. h'/?.5 <br />F~ F~ <br />/AL.~(!!.._t!,i. Coolll~ RAPIDS. llII,v . t..t~ <br /> <br />Address <br />City, State, ZIP <br />Phone Numbers <br /> <br />Email Address <br /> <br />Committees <br />If you wish to be considered for more than one committee, please order in number of preference. <br /> <br />Communications <br />Parks, Trails, & Recreation (pTRC) <br />City Events Task Force <br /> <br />Operations & Finance <br /> <br />--A- Planning Commission <br /> <br />Website Task Force <br /> <br />SDecial Interests <br />As the Council prioritizes its goals, it may create additional/new conunittees 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 yow application for <br />future openings in those areas as new committees are created. <br /> <br />Other Interests Ie-AIr P <br /> <br />D~t/ 'h){:> JI1I!N/- <br />- I <br /> <br />Persona) Information <br /> <br />List YOl!r }Vork experience. I 0..1 - <br />(I..HIU ~U.It...DI.N" orrtC/AJ - ~ ~,-1/D5 - 'ye.5 <br />I , , I , I 5~r..~1<) t"~-I"IN. { t! # <br />S IJ:J BIJ A~ /"1-1 J -r ~ I' -k: ~ "5 f Po. << ( z.. t /f?..5 <br />~, (Ol"v<- -nl.A,Df[~ MAIl r-~J Al.:s- /~(,e..s <br /> <br />City Conunittee Application Form <br /> <br />Page 1 of2 <br />