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<br />.. E_...._t for ............... (part 8 Is ......... for voting -nIIip -.17) <br /> <br />Application for voting membership requlre< endorsement by two current Full, Associate, or Life Members of ICMA. Individuals applying <br />for AffiUate status may skip this section. Cali 202-962-3680 if you need a Ust of voting members In your state. <br /> <br />1. As a Full. Associate, or Life Member of ICMA, I endorse this application for ICMA membership. <br />E_'1 E-.......nt'2 <br /> <br />Name (Please print) <br /> <br />NlU'I'e {Please pr1nl) <br /> <br />T'" <br /> <br />"" <br /> <br />lJX:a1 Gow!mment. <br /> <br />"""""""'''''"' <br /> <br />- <br /> <br />""" <br /> <br />..",.... <br /> <br />""" <br /> <br />2. If you are applying for voting membership while working as a non-CAO, please have your employing cao sign the following statement: <br />As the chief administrator. I cortny that the individual hen!by applying [or leMA membeahfp has s/{fnffiamt general administrative Lt!SjXJl1.ff- <br />bilftfes that am oriented towarri a local guvemment mlUJJl[Jen1l!J1t career. <br /> <br />Signature of Employing cao <br /> <br />C. EduatIon <br /> <br />List only completed undergraduate and graduate degrees. <br />~(e.g..MM.BSl YearCornpleted <br /> <br />Name aI IrKtitution <br /> <br />..... <br /> <br />D. Em~nt Exper_ <br /> <br />Start with your current position. Do not send resume. Include internships If they were full-time. paid positions. <br />from (MM/DDM'VY) To (MMIDDIYYVY) nJe Name or Local GovernmentfOlher Employer <br /> <br />..... <br /> <br />p.ge:l <br />