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<br />2, \Vha~ sP\ecific contribution do YOl,l hope to make to the boardor co~ission.? Whydo you W~lt to become ~,;nemb~r? \+l~-
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<br />NOTE: To allow ([ large numher of citizens to serve on boards alld commissiol"s, the City Council polit'y(ill.. fS individuals to sen.'e
<br />on only m:e standing board or commission at a time. A ..'urum member of a board/commission 1l'ho is a successful applicant for'
<br />another board/commission will be required to choose between the two appointments. 71Ji::. policy does not appl.v to ad hoc committees
<br />or departmental committees orpositiol"s that are designatedfor members afspecific advisory group (e.g. the Human Rights
<br />Commission membii'r assigned to the Police Commt~,sion).
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<br />Information submitted on this application is public information. The inibrrnatioll provided herein is true and complete. A
<br />false or misleading statement may be cause for elimination fi'om cOllBideration.
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<br />Signanue of Applicant .' ~~k1~,g~
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<br />Ret~rntOntJlleteda.l)plitati6rts .(0:
<br />Cit}'Manager'sOffice
<br />717 Pearl Street~ Room 105
<br />Etlgcne~ OR 97401
<br />541 ~6.82,,501()
<br />541~682-5414 (F~x) (Applications may be faxed)
<br />For more information, visit our web site at wVI'vl'.eugene-or.gov
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<br />Date __~1..~._.~..~.Jt5...._..~_..
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