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APPLICATION FOR APPOINTMENT TO A RAMSEY COUNTY COMMIIIEE <br />RICE f.IU onmi ee <br />DATE: <br />NAME: <br />ADDRESS: (Business) <br />Zip <br />(Home) <br />Zip <br />TELEPHONE: (Business) (Home)_ <br />Please send official correspondence to my: Business Home <br />Please state your reasonr for wishing to serve on this committee: <br />Plebackground0employmentfor on this <br />and/or <br />List fications <br />relatedlivolunteer <br />forasmembershipurIfpPapplicablle <br />11 , education <br />experience): <br />r" <br />Please list names, addresses and telephone numbers of two persons who <br />would be able to <br />confirm your qualifications for this particular committee service: <br />1. <br />2. <br />Your response to any of the above may be continued on the back and <br />you may attach any <br />other materials which you may want the County to consider. <br />Are you available for a Personal interview should the County desire? <br />Applications must be returned to: John Velin, Chief Clerk <br />County of Ramsey <br />Room 286 City ball/Courthouse <br />15 West Kellog Boulevard <br />St. Paul, MN 55102 <br />Postmarked by: Uo ti m7, Ia87 <br />Signature of Applicant <br />For further information about this committee, please contact <br />at <br />