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<br />Ill} I J;4.y- #,.k <br /> <br />List any Civic, Professional, and Community Activity involvement. <br />/-t-f/; - c: 7P 6.4 <br /> <br /> <br /> <br />, <br /> <br />'? u <br />AA.-vfefl/ ;/;1.'5 - C/e-~Z;,.;/&-, ;;roJ~-e <br />Why do you want to be on a committee? - r7 ~ <br />G/!' e: b"# e fi:. ;Z;-,p ~e d ~..., d1f" D...v '" '7 <br /> <br />What skills, strengths, or abilities do you believe you will add to the committee? <br />*A-Aa-/e-~7.P- - #/lA/.I4/.e/H~ - /U","AY/Q:7" <br /> <br />List any additional comments. <br /> <br />References. <br /> <br />I. cY,lf.~ <br />Name <br />I ' <br />2. C?4.A' " <br />Name <br />3. <br /> <br />-d-l9~,1~ <br />/Up.:;s .4 <br /> <br />16;; ;1 <br />Address . <br />-:;5/8 <br />Address <br /> <br />d,4- T~#/' t: /'7 --fI cJ ~I <br />Phone No. <br />,(/../ /6c>l! 9'S--a '7'f"-Y -~?'7> <br />Phone No. " ........- /" <br /> <br />Name <br /> <br />Address <br /> <br />Phone No. <br /> <br />Please return this form along with a letter of interest and your current resume to: <br /> <br />City of Arden Hills <br />1245 West Highway 96 <br />Arden Hills, MN 55112 <br />Attn: Schawn Johnson, Assistant City Administrator <br />Phone: 651.634.5120 <br />Fax: 651.634.5137 <br /> <br />City Committee Application Fonn Page 2 of 2 <br />