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, <br /> APPLICATION FOR DVISORY.CROUPS .,41,0 <br /> Oft, COMMITTEES <br /> Name of Group or Committee Applying For; <br /> 1 <br /> Second Choice.(If Aniy). <br /> SFug eco ,, - <br /> n*mri (-f _ , /s. ,,, <br /> e-(First,middle,ilu,Last): / <br /> . ddress� / 4S 7/ <br /> 2 Aelf , , <br /> d <br /> A � � a �ti t. t; ;r ,' r <br /> Years At' 'his 7clrlresa: Yeat'S You'Have Lived Zn �.1+ ou da" ew: '` <br /> Telephone Number �ouna 9 '7 Work or ether- <br /> Ili <br /> QtIjCATIONS YOU W �' C '`Y COUN T ,_TO CONS R . <br /> Skills and.Inte$sts: <br /> F � k�.p? u, Qther cp-� �eu��. ��� �"`� ' �` • <br /> y- #- , <br /> ershlp ,A compllal�inents,or Other gua1d nations: � � tJ . <br /> Please Stag otter Reasons For W ting.; o Serve xatttes <br /> e4c2 <br /> 'our4respQ a to any of the above may be:cont tied on'rhe ball,'and you m ay.at�, 6414447- -__ e:z;),,ii/. ` ' ' . . 0 .., • '. ' ,',0,...,,, of-e-4-44.. ' _ _ <br /> eete-de-0 <br /> taach any . <br /> other materials which you want the G ry Council to cons der. <br /> Date - i <br /> • The City o£ Soo • • <br /> ds View;is,committed to.the padlcy that ail persons shall have equal�access to its <br /> programss.fa tie ,and employment without regard to race, creed, color, sex, age, hanont l <br /> . <br /> origor handicap' <br />