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<br />List any Civic, Professional, and Community Activity involvement. <br />-V'Q{urd~~r OL..s rJ>; Jd co...r-c..- rrv\l~ ,I U I 0~'tf -for c..h\ldl'~:.s HolfY)-e..., <br /> <br />~E~CA: r~M.,I~ SP'N(~~ <br />- R Co ri~ /V::C nt5) ti~~--- --S CIJVY)M~.v> ;-t~ L'ffi4"J ~(;:) ~~SjDC\f)<;Q --reo- vv> . <br /> <br />Why do you want to be on a committee? <br />-ro ~L--t ("1ore.- [-,q\(n}\Kd }~'r-\-/..... G.-rlcJ be.. Df SFY'I/)~ -[6 >'d Cal'Y}!y>~~_ <br /> <br />What skills, strengths, or abilities do you beliere you will add to the committee? <br /> <br />~!;~~~ CV)d j~k expi>,r(-e~e~)~ <7'- ~D.r;e_~~:::t~omyY\l/AICOv-{-ion <br />. -if):]", 0. we (t 0-.$ IlL c\ d @DV~Y -t. <br /> <br />List any additional comments. <br /> <br />References. <br /> <br />lS~rCL~ fbQ[kL'fid <br />2.N~0 lAbJ-/;/)j <br />Name <br />3. fIlt:: ~D \~-> vYIlrDh <br />Name <br /> <br />Address <br /> <br />&5/- ~ t./CJ- ~ot9 3 <br />Phone No. <br />it'5! - 7 (Pc1 -~jfA.c; Lj <br />Phone No. <br />(oS I - 407 - I rl (). ~ <br />Phone No. <br /> <br />Address <br /> <br />Address <br /> <br />Please return this form along with a letter of interest and your current resume to: <br /> <br />City of Arden Hills <br />Attn: Assistant City Administrator <br />1245 West Highway 96 <br />Arden Hills, MN 55112 <br />Phone: 651.792.7800 <br />Fax: 651.634.5137 <br /> <br />City ComIuiuee Application Form <br /> <br />Page 20f2 <br />