Laserfiche WebLink
ew <br />righton <br />CITY OF NEW BRIGHTON <br />803 - 5TH AVENUE N. W. <br />NEW BRIGHTON, MN 55112 <br />633 - 1533 <br />APPLICATION FOR ADVISORY GROUPS <br />GRO APPLIED F R: C /~ ~ ~ <br />/j/~ <br />SECON OICE (IF ANY); <br />FULL NAME (PRINT OR TYPE ): <br />v y1A~sFi~z <br />ADDRESS: <br />/~ <br />YEARS AT THIS ADDRESS : YEARS YOU HAVE LIVED IN NEW BRIGHTON: <br />Z <br />TELEPHONE: HOME: WORK OR OTHER: <br />/"' ~ ~/ ~ / <br />QUALIFICATIONS YOU WANT TO HAVE THE COUNCIL CONSIDER <br />EDUCATION: <br />EMPLOYMENT, OCCUPATION OR OTHER EXPERIENCE: <br />~/C~'~ P~~sw~ ~ r <br />MEMBERSHIPS, ACCOMPLISHMENTS OR OTHER QUALIFICATIONS: <br />PLEASE STATE YOUR REASONS FOR WANTING TO SERVE ON THIS COMMITTEE: <br />YOUR RESPONSE T AN OF THE ABOVE MAY BE CONTINUED ON THE BACK AND YOU MAY ATTACH ANY OTHER MATERIALS <br />WHICH YOU WANT H COUNCIL N ER. <br />SIGNATURE DA E / <br />THE CIT OF NEW BRIGHTON IS COMMITTED TO POLICY THAT ALL PERSONS SHALL HAVE EQUAL A S TO ITS PROGRAMS, <br />FACT CITIES, AND EMPLOYMENT WITHOUT REGA TO RACE, CREED, COLOR, SEX, AGE, NATIONAL ORIGIN, OR HANDICAP. <br />