Laserfiche WebLink
Icii 'of <br /> A NEW <br /> IV BRIGHTON <br /> the city that works for you <br /> Advisory Commission & Task Force Application <br /> Date 7/ G <br /> General Information <br /> Name Welt_; Jere c) M <br /> Last First M.I. <br /> Address —1 ,7 I) 4- / ve_ A/W <br /> W <br /> City, State ZIP Ak w a /'i c� 14-Trel / /12/1i 5 S lI2 <br /> Phone ,ti1A 6 S�i . �61 . I sl 7o 3 Fo. 72.n <br /> Home nQ Business Cell <br /> Email Address j CA-pOC. 1)e er @,G mei:1 . raft" <br /> Commission/Task Force <br /> Public Safety Commission Economic Development Commission <br /> Planning Commission Civil Service Commission <br /> Park,Recreation&Environmental Comm. NWQ Financial Strategies Task Force <br /> Availability (Check all Preferences) <br /> After work,early evening Y. Evening,after supper _ _Early morning <br /> List specific days or times you are not available <br /> Personal Information <br /> List any related work/education experience: <br /> C vure,.+I y t. r i of 0 S'0!}G1j,j .0-1, /P n�' of“a6.,dt-)'�u�l o <br /> - 'fec'Foi G C�(/W1w�✓l11coobc.Y15 fli'4-hiS fair Y l'/o/L %)` Si ntS <br /> (c 61ll a(c'WI� -the chafe UYl OIvocc c ie./ -1,e•i tSSveS. -}+► L{ '0(14.41n 1' ✓tc�cye) <br /> V e (he. 1n /2l,4S rt�t)2/►2t//tt!_r t4on4 L%Y1 n I.'a . fo%i n:.ps?eSaiet J4A4e Uoclicfs.41 <br /> Moo)If\C67Q'. 3 let my z)vt f'on Co✓fle) W,+11 l'}').) CVPe(► � ' L 3 .Le plc -111c <br /> f.t,Cue- Ai'l Cam011M..6am},oh S�,1 s -f-04.e(ve 1n --1 ..5 idle wel). <br />