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FROM :~ ~') FI:IX IqO..'541~445118 ~-', Mar. 18 Z005 eZ:~IPM P~ <br /> REcEiVED <br /> <br /> APPLICATION FOR APPOINTMENT TO ~AR 1 R 2005 <br /> APWSq Y ao 0s.. No CO MISmONS <br /> Please P~nt or Type. ' .... <br /> <br /> Middle <br /> <br /> City Council Ware ~ k ~'~ Neighbomood Organization <br /> <br /> Occupation O,~r ~,{~ .,.oe of Employment ~~...~~ <br /> <br /> 'Fax Number (. applicable) E-Mail (If applicable> . ~ <br /> How did you I~rn of this vacancy? ~ Newspaper . D Word of mouth D Mail ~ Web Peg <br /> <br /> Oth r Source 'P ~r ~~' <br /> . . I I II III <br /> <br /> D '18 and Under ~ 19 - 25 ~ 26 - 35 ~6 - 45 D 46 - 55 <br /> ~ 56 - 65 ~ 66 and above <br /> <br /> [] African American [] American Indian/Alaskan Native [] Asian/Pacific Islander <br /> ,~$panic [] Middle Eastern [] Multiracial <br /> <br /> hire/European American <br /> <br /> Disability: [] Yes ~/No If yes, please describe <br /> <br /> Fluent in languages other than English? r-1 Yes [~No Which language(s)? <br /> <br /> P/ease con3ple~e both aides of ~1118 app/l~tlon Application for .~)polntment to ~ttl.zen AdVieo~/Boar~ en(~ Commission- Pe~]e 1 <br /> Revteed September, 2001 - PI\I3MO~BCC'~9,CCAPP0109119.wpd <br /> <br /> <br />