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35 <br /> The following information is requested to process your application. <br /> Name: <br /> Address: <br /> City/State/Zip: <br /> St. Anthony Resident: Years <br /> Home Telephone: Work Telephone: <br /> Home Fax: Work Fax: <br /> Home Email: <br /> Work Email: <br /> May we contact you using your work email or fax: Yes <br /> No <br /> Signature of Applicant Date of Application <br /> F.•ICouncil MeetingslCounciMpplication for vacancy.doc <br />