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<br />~ <br />~HILLS <br /> <br />City Commission/Committee Application Form <br />Date ~ ((f(O~ <br /> <br />I <br /> <br />General Information <br /> <br />Name <br /> <br />gN~~e.c; CARYL- <br />Last First <br />31lfLf C lE.u E:,L.A Al 0 A u~ N <br />_\1 <br />h A rlf>P: ~ HILLe;; tiN 5<(f~ <br />Home "C;' (,. '3 ~6 ~ lf~60 <br />Fax <br />Carjb~~ ~~sf.. hit <br /> <br />j) <br />M.I. <br /> <br />Address <br />City, State, ZIP <br />Phone Numbers <br /> <br />A fT )~~ <br /> <br />Work - <br />Fax -- <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 Committee (Newsletter) <br />Parks, Trails, & Recreation (PTRC) <br />Economic Development Commission (EDe) <br />Planning Commission <br />Financial Planning and Analysis Committee (FP AC) <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 <br /> <br />Personal Information <br /> <br />List your work experience. <br /> <br /> <br />~- <br /> <br />Otr heU S~V't .,-fet"..., <br /> <br />City Committee Application Form <br /> <br />Page 1 of2 <br />