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<br />~ <br />~HILLS <br /> <br />City Commission/Committee Application Form <br />Date (/;0./01 <br /> <br />Name <br /> <br />General Information <br />It') c C (&( 'Ij :Do ,r off: '1 <br />Last First . <br />L/3 ~o N - Sn e(/~ ~ <br />M(;!J~/I<, I I .g;;~(Id- <br />Home (:7'5/-(0 ,3... j 7 II Work <br />F~ F~ <br /> <br />A- <br />M.I. <br /> <br />Address <br />City, State, ZIP <br /> <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 />V Communications Committee (Newsletter) <br />Parks, Trails, & Recreation (PTRC) <br />Economic Development Commission (EDC) <br />Planning Commission <br /> <br />Special Interests <br />As the Council prioritizes its goals, it may create additionaVnew committees 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 your application for <br />future openings in those areas as new committees are created. <br /> <br />Other Interests <br /> <br />Personal Information <br /> <br />List your work experience. <br /> <br /> <br />/?"YLC <br />17\k"iLr~ <br />)yfH~S <br /> <br />e--x.ryv<./-C <br /> <br />d/~ ~--' <br />6f If ih'-€AUL~ <br /> <br />City Committee Application Form <br /> <br />Page I of! <br />