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<br />Advisory Commission Application <br /> <br />Date __________________ <br /> <br />General Information <br /> <br />Name ____________________________________________________________ Last First M.I. <br /> <br />Address <br /> <br />City, State, Zip __________________________________________________________ <br /> <br />Phone ____________________________________ Home Business Cell <br /> <br />Email <br /> <br />Commission/Task Force <br /> <br />_____ Economic Development Commission <br /> <br />_____ Planning Commission <br /> <br />_____ Parks, Rec. & Environmental Commission <br /> <br />_____ Public Safety Commission <br /> <br /> <br />Availability (Check all Preferences) <br /> <br />____ After work, early evening ____ Evening, after supper ____ Early morning <br /> <br />List specific days or times you are not available _______________________________ <br /> <br />Personal Information <br /> <br />List any related work/education experience: <br /> <br />______ <br />______________________________________________________________________ <br />______________________________________________________________________ <br />______________________________________________________________________ <br /> <br /> <br />