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go=• CITY OF CENTERVILLE <br />APPLICATION FOR APPOINTMENT <br />Committee or Commission applying for: <br />Park and Recreaction <br />NAME, Heidi Errickson-Srahek <br />STREET ADDRESS: 6970 Meadow Circle <br />CITY: Centrville MN ZIP CODE: 55038 <br />HOME TELEPHONE: 651-762-8575 WORK TELEPHONE: 652-336-4399 <br />FAX: EMAIL ADDRESS: <br />Number of years a Centerville Resident?: 18 <br />heidigrahek@gmail.com <br />Are you presently serving on a Centerville Committee or Commission?: no <br />Which One?: Term?: <br />Have you served on a Centerville Committee or Commission in the past?: no <br />Which One?: <br />Which One?: <br />Term?: <br />Term?: <br />What do you have to offer the City of Centerville as a Committee or Commission <br />member?: My family and I enioy the parks and I would like to contribute my time and <br />effort to help keep them in good shape. <br />Experience or Education that would enhance your effectiveness as a Committee or <br />Commission member?: i was on the Centennial Soccer Board for several years as well <br />as several other committees throught my work in the forest Lake School district as a <br />school social worker. <br />Date: �Z /, -/2 <br />Return to: City Administrator <br />City of Centerville <br />1880 Main Street <br />Centerville, MN 55038 <br />7 <br />