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<br />~ <br />~HILLS <br /> <br />City Commission/Committee Application Form <br />Date c:~ - ~r -~ <br /> <br />General Information <br /> <br />Name k~ \ \,"~ ~l <br />Last First M.L <br />Address ' O~\""L c.~~ ~ <br />City, State, ZIP ~ ~Y'-. ~'"\\S <br />Phone Numbers Home' S1 (; ~ 8Co:r ~ Work (; S- f -=rr61- \ \ ~ ( <br />Fax Fax <br />Email Address t<c..l\,,^~~ (() vs~, toy . N-c.'+ <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 (PTRe) <br />Economic Development Commission (EDC) <br />Planning Commission <br />Financial Planning and Analysis Committee (FPAC) <br /> <br />K: <br /> <br />Special Interests <br />As the Council prioritizes its goals. it may create additionaUnew 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 DeW committees are created. <br /> <br />Other Interests <br /> <br />Personal Information <br /> <br />List your work experience. <br /> <br />:r cvrr-'t:;: ~ ~ -t~~: r<.-h~"""N~ ,~\.Q/\ ~~ .w- <br />~ l"y.# r r--Jr~'\ P~'-h..o..Jf;.\. _ r r ""'0., c;.. 0.. PP'~~~~ <br />~-E."" L"VJ>\....g ~ foe "'^,+U..~ fvv..Jes a.,~ v~ ____ <br /> <br />City Committee Application Form <br /> <br />Page I of2 <br />