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<br />I . <br /> <br />0"",,- <br /> <br />'-f III / ~") <br /> <br />r . <br /> <br />%- <br />~HILLS <br /> <br />City Committee Application Form <br /> <br />Date <br /> <br />/L-/7-~=0 <br /> <br />Name <br /> <br />General Information <br /> <br />N.o$~k J u)o....n"-c.~ <br /> <br />First <br />I &s.c:> -'5-1-<>'<.>-<<- Au",,-- <br /> <br />Last <br /> <br />--J. <br />M.L <br /> <br />l--1~ <br /> <br />Address <br />City, State, ZIP <br />Phone Numbers <br /> <br />~~~'"'- <br /> <br />1-\; t\... M...10 <br />, <br /> <br />~/.....-"Z-. <br /> <br />Email Address <br /> <br />Home 6.S-/~ -3S37 Work 8t!>O-<.78-/~~ <br />Fax Fax <br />h.==-k_J <><::--e. c.."",,-~~ "-""-+- <br /> <br />Commitkes <br />If you wish to be wnsidered for more than one conunittce. please order in nwnber of preference. <br /> <br />Commnnications Committee (Newsletter) <br />_X Parks, Trails, & Recreation (PTRC) <br />Economic Development Commission <br />Planning Commission <br /> <br />Speeiall.uterests <br />As the Council prioritizes its goals> it may create additional/new committees Of task forces from time to time. (f you <br />have other specific areas or wpics of interest please indicate those interests and we wil-I retain your application for <br />future openings in those areas as new committees are created. <br /> <br />OthCl' Interests <br /> <br />Personal Information <br /> <br />List your work experience. <br /> <br />e......u\....o".........~~ "<-~i;to..'t..~- <br /> <br />1: ~....l:.t~ Q,o":l:...,, l -S"-fJLr-u;cs ~r- <br /> <br />__~"""""~\"_-.l Cl....-..s:S4..r--~"'c:.e.- ca. c:.-e r- <br /> <br />City Committee Application Form <br /> <br />Page I of2 <br />