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List any Civic, Professional and/or Community Activity involvement: <br />i <br />Why do you want to be on a Commission/Task Force? <br />What skills, strengths, or abilities do you believe you can add? <br />Adds nal comments: <br />"Ing" <br />References: <br />Name <br />2. lfW1 <br />3. <br />r <br />a„c� Nw �u 13 11 �3oa�r� <br />ess —� 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 />2 <br />