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<br />Board or Commission <br /> <br />Budget Committee <br /> <br />Name <br /> <br />Robert <br />First <br />1444 E. 21st <br /> <br />97403 <br /> <br />Street <br /> <br />Norton <br />MKldle <br /> <br />Eugene <br />City <br /> <br />Peters <br />Last <br /> <br />Home Address <br /> <br />np <br /> <br />Do you reside within the City limitS?.l!J,Yes 0 No <br />-~<: /' <br />/' . <br />City Council Ward /ThnH.v <br />/ / <br />I .// <br />'--_./' <br />Home Telephone 51, 1- 3 (, q - 84 79 <br /> <br />Occupation At tor n e y (0 f C 0 u n s e 1 ) <br /> <br />If yes, how long? <br /> <br />36 years <br /> <br />South University <br />Neighborhood Organization N e i Ii h DO r h 00 il A RS n <br /> <br />Day Telephone <br /> <br />iO.UlQ <br /> <br />Place of Employment Public Defender Services <br /> <br />Business Address <br /> <br />1143 Oak Street Eugene 97401 <br /> <br />Fax Number (if applicable) <br /> <br />541-484-5068 <br /> <br />How did you learn of this vacancy? <br /> <br />~ Newspaper <br /> <br />E-Mail(lf applicable} pegandbob. peters@gte. net <br />~Word of mouth OMail Dweb Page <br /> <br />Other Source <br /> <br />opnONALmFORMAnON <br />The Eugene City Council supports diversity and seeks to appoint persons who represent the diversity of the community. By <br />providing the information below. you can help the City Council to know if the appointments match the diversity of the <br />community. Applicants are considered without regard to race, sex, color, national origin, age, religion, marital status, medical <br />condition, or disability. In some instances, however, appointment to certain boards/commissions may be based upon the <br />need to fiN specific positions on the board/commission. <br /> <br />Please check the applicable boxes: <br /> <br />rn Male <br /> <br />o Female <br /> <br />o 18 and Under <br /> <br />o 19 - 25 <br /> <br />o 26 - 35 <br /> <br />o 36 - 45 <br /> <br />o 46 - 55 <br /> <br />o 56 - 65 <br /> <br />[} 66 and above <br /> <br />o African American 0 American Indian/Alaskan Native <br />o Hispanic 0 Middle Eastern <br />o White/European American <br /> <br />o AsianlPacific Islander <br />o Multiracial <br /> <br />Disability: <br /> <br />o Yes <br /> <br />~ No <br /> <br />If yes, please describe <br /> <br />Fluent in languages other than English? 0 Yes <br /> <br />I[] No Which language(s)? <br /> <br />Please complete both sides of this application <br /> <br />Appli<:atloo for Appointment to Cilizan A>,'Msory aoafdsand Coowni3Si~. PaQe 1 <br />Revi&e<J Septimb6f, 20()1 . P:\CMO'I3CC'<BCCAPP0109119.wp<:I <br />