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<br />1. What experience, training, and/or qualifications do you have for this particular board or cOImnission?
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<br />What specific contribution do you hope to make to the board or commission? Why do you wallt to become a member?
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<br />on on!}" on" standing board or commission at a time. A current member of a hoardkommission who is {} successful applicant jor
<br />another board/commission will be required ta cht)ose between the f>l..'O appointments. This policy does riot apply to ad hoc commillees
<br />or departmental committees or positions that are designated jor members of specific advisory group (e.g, .'he Human Rights
<br />Commission member assigned to the Police Commission).
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<br />I. Members !!ldty (Jdvl~f)"" groups R'lf1)f serve (t maximW1lcJtwa cClfSecWiw /;f!Ynt.f whim die length oj t~ iVWI is thy," }'ef/l'S ()f'more,
<br />ltl(lNiduaf1J 8ernll!1 terms fes$' JhGJl thr;:e .Wq"$ will he limited IQ a 141m o{lix Nnse&tiw- yuirS'Cf servi<:~; >,
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<br />C ~~~mpkifA#11I.iiy li0l3~rve c~. m(ssl~ ~qepi as~~c:iru;alfy prwMed by rite- City Code, PI'
<br />Atrequii'itlliijiet;fiJnn'itlfidaltlUtJijij .'. ... . ..... '.. . . ............ ..
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<br />fnfonoation ::'1.ibmitted on this applicHtion is public information, The infonnation provided herein is true lmd (:omplete, A
<br />false or misleading statement may be cause for elimination from consideration.
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<br />Signature of Applicant
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<br />CJ~'\.f I~~JJ \1cr- ~ (~'-..
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<br />Date
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<br />__!o- ;(S--O~
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<br />Return completed applications to;
<br />City Manager's Office
<br />777 Pearl Street, Room 105
<br />i<:ugene. OR 97401
<br />541~682~5010
<br />541-682-5414 (Fax) (Applications may be (axed)
<br />For more information, visit our web site at wVl-w.eugene-or.gov
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<br />\\Ccs""pp09\pubhc\CMO\Bnards ~nd C(}mmj~siollS\2(j05 BCCapplicr.!iotl.doc
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