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List any Civic, Professional and/or Community Activity involvement: . <br />► r` lv� <br />) � S 1 lu S <br />• v <br />Why do you want to be a part of this Study Group? <br />NAG 'L?ryj ��Lv\C` 1�'�� � SV1ct,TnCl1 Y�cu <br />WhP1�skills, strengths, or abilities do you believe you can <br />Additional comments: cr-t:�p\( l <br />References: <br />1. �kk" ^)1 iiY1(. `S\- •C 1&r <br />Name Addres Phone Number <br />2. T(iiA.mu <br />Name Address t -UG-10,, i'A W3J Phone Number <br />3. 1 vet u tjj�011)- Q1A ifl �j -ca):s. a'►� `a3 1�,V.'t�-r s `i�iS�-` �I <br />Name Address (u� 53,E Phone Number <br />Please return this form along with a letter of interest and your current resume to: <br />City of New Brighton <br />803 Old Highway 8 NW <br />New Brighton, MN 55112 • <br />Attn: Schawn Johnson, Assistant to the City Manager <br />Phone: 651-638-2046 Fax: 651-638-2044 <br />