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MOUNDS VIEW CHARTER COMMISSION <br />APPLICATION FOR MEMBERSHIP <br />Please print or type: <br />NAME: <br />Last First Middle <br />ADDRESS: <br />hTome phone: Work or other phone: <br />Number of years at your current residence: <br />Number of years you have lived in Mounds View:__. <br />QUALIFICATIONS TO BE CONSIDERED <br />UCATION: <br />JEMPLOYMENT,OCCUPATION OR OTHER WORK EXPERIENCE: <br />OR CIVIC AFFAIRS: <br />DO YOU WANT TO BE A MEMBER OF THE MOUNDS VIEW CHARTER COMMISSION: <br />If necessary, please continue your response to any of the above on the back of this application or a separate page. <br />You may, also, attach any other materials you want the Court to consider. <br />SIGNATURE: <br />DATE: <br />Mail the completed application to: Michael G. Moriarity <br />Attn: Judy Harris <br />15 West Kellogg Blvd -- Room 600 <br />St. Paul, MN 55102 <br />The public policy of Mounds View is to foster equal opportunity for all to obtain employment, education, real property, public <br />accommodations, public services, contract and franchise without regard to their race, creed religion, sex, sexual or affectional orientation, color, <br />national origin, ancestry, familial status, age, disability, marital status or status with regard to public assistance, and strictly in accord with their <br />individual merits as human beings. <br />