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Of <br />MaRM <br />Me city that :wrnrks kir you <br />Advisory Commission & Task Force Application <br />Date <br />General Information <br />Name J a C'0 <br />Last <br />Address <br />City, State ZIP _ <br />Phone _&D <br />Home <br />Email Address Z: + J <br />• Commissionfrask Force <br />2 Public Safety Commission <br />Planning Commission <br />Park, Recreation & Environmental Comm. <br />First <br />M.I. <br />lou sT11 <br />6Y1371i�_Sr_ <br />_� Economic Development Commission <br />Civil Service Commission <br />NWQ Financial Strategies Task Force <br />Availability (Check all Preferences) <br />,,/ After work, early evening t'Evening, after supper _ Early morning <br />List specificdays or times you are not available <br />Personal Information <br />List any related work/education experience: <br />