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<br />. <br /> <br />~ <br />~HILLS <br /> <br />City Commission/Committee Application Form <br />Date }-/y}/!)!f <br /> <br />General Information <br /> <br />Name <br /> <br />W-cP <br /> <br />Last <br />viSli1~.. V/;r- U <br />AnMn -/I <,;.q c;r;1I 1-- . <br />Home I ~Vi ,m-> 1J/6il <br />Fax <br />dqf\;d YI,'tf-@ '1tAh(7(J. ih <br /> <br />PUmc I <br />First <br /> <br />llj. <br />M._ <br /> <br />Address <br />City, State, ZIP <br />Phone Numbers <br /> <br />Email Address <br /> <br />Work <br />Fax <br /> <br />(v<;/ ) Lff1-'IJ1If <br /> <br />Committees <br />If you wish to be considered for more than one committee. please order in number of preference. <br /> <br />Communications Committee (Newsletter) <br />~ Parks, Trails, & Recreation (pTRC) <br />U Economic Development Commission (EDC) <br />Jd! Planning Commission <br />-l.- Financial Planning and Analysis Committee (FPAC) <br /> <br />Special Interests <br />As the Council prioritizes its goals, it may create additional/new 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 1.1l ~r <br /> <br />Personal Information <br /> <br />List your work experience. <br /> <br />1-. ~'" jI1Vf(,r/~ {h,f/vy1/ (/J- .y~ IVll,r F'r,., of <br />StrIA s;nsky ,,,,", 'p,! ' {fS( lIl,pl-.K J::{;/ mOrt {I/;-,.. f Ilff <br />'(lr.floYfh{~j- If.. -hI/MAr/b... "J(~\( 5/( ""'/ Y?SlAm( <br />v / I <br /> <br />City Committee Application Form _ <br /> <br />Page I of2 <br />