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<br />V I I' V J..! ... V V l .I. '* .. .l. V .(' n..A ~ "It J.. V Q V '" U i V <br /> <br />Lnt" <br /> <br />tg] 002 <br /> <br />( R..t='.. ......A.TI'AC_MC <br />'. . .J:;CEIVEf) <br />BY CITY MANAG <br />APPLICATION FOR APPOINTMENT TOER~ <br />CITIZEN ADVISORVBOARDS AND COMMISdfo~2(]07 '" <br /> <br />~ =;;;;;; <br /> <br />Name of Board, Commission, or Committee: Citizen Advisor!. Board -" CoDllllissiollS <br /> <br />Name: Mandy Jones <br />Home Address: 45909 . Goodpasture Road" Vida. OR 9748~ <br /> <br />LWP <br />JUt 1 1 2007 <br /> <br />Home Telephone: <br /> <br />896.3104 <br /> <br />Daytime Telephone: 681-6142offiee. 953-1734eeD. <br /> <br />Do you reside within the city limits? 0 Yos <br /> <br />1m No <br /> <br />If yes, how tong? -H"_'''__.'._JJ <br /> <br />City Council Ward: <br /> <br />Neighborhood OfBanizatiOll; <br /> <br />OccupationIPlace of Employment: <br /> <br />../ <br /> <br />CEO- OregonCoDlIDWlity Credit Union <br /> <br />Business Address: ~880 Chad Dr ..Eugene. OR 97408 <br />Mailing Address: .PO Box 71002 Eugeue..OR 97401 <br /> <br />Fax nub,lber (if.appliCab1e): S41-68~-6125 Email Cn applicable): nlJ'OD~(jj;..n.oneomm_~.~~ <br /> <br />Hri did you lemf.of this vacmicy? <br /> <br />a NeWspaper <br /> <br />. ., <br /> <br />. 0 Word of Mouth <br /> <br />t).... )4 (tf'tt~.. ~.~ <( . ~ ,.. -<f<rl> ...".. ,.,.._.). <(II( ..... ,i, (~~ <br /> <br />CMail a Web page <br /> <br />Other source: Asked to app_y <br /> <br />NOTE: 'Irifomuztion. C01'l3isttn.g a/home ad~ andphone mtrn.bers may be exemptfrom disdosure per ORB 192.502(3). <br /> <br />OPTIONAL INFORMATION , <br />The Eugene City Ctmncil8UJ'lPOYl$ diversity and seeks _ 9owpenons who represe1It tlte dWemty oltlte ~mmunit,y. By <br />providing tR8 information b8low, you can kelp the City.IJouncil to bzow if. WoUttmen.t.f 1Iff1IcA the diversit;y.olt1te <br />community. A.pp1ictmta aN. CfJtf$idered wiIJtout rttgard to race, sex, color, 'fU1ttonal ortgilf, age, r8ltgton, marlt4lstalu3, <br />. medical conditiOn. Of' 4isability. In. some ~. however. appoi~ to ~ hoards/commissions may be Jx1sed UJIQn <br />the. need to fill spet:!/fte positions on the board/commission. ' <br /> <br />a Male <br /> <br />tEl Female <br /> <br />0'18 and under · a 19-25 a 26..,35 CJ 36-45 i~ 46-55 <br /> <br />CJ 56-65 <br /> <br />1:166+' <br /> <br /> <br />. rliSilbility'l ; 1_:.1. b y.;s:: :'''''''tIJ No ,-~' If~ P1aasedcao~ <br /> <br />. ) I ' <br /> <br />: ",~:,' " :, T'f; <br /> <br />r,'.: .::{ 1:~; :. !~'.. <br /> <br />Eluent m<fatigu;ige(s) otIier.'thap. 'English? o Yes <br /> <br />'IENo <br /> <br />(~. ~~~:1 (. (~~ J~ ..,: i ~,( ;;.,,(.~ .~~;'H,~; :~~. ;..* ~~..IY~1:J~'~ ~;7) ~~J~ <br />.lfyes, please list.~ 1,1 ~ ..' ~ ~ ,. , ~".f, to t ': ~ ~. ", ~, . ,. <br /> <br />H:\Ex~ve Teaftl\Mandy\Citiaen Advitoty Board,\CitY of liugeacapplieatioadoo <br />