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Janice Ellis <br />From: support@civicplus.com <br />Sent: Friday, May 06, 2011 3:57 PM <br />To: Janice Eilis; Denene Taylor <br />Subject: Online Form Submittal: Application for Boards / Committee / Commission <br />If you are having problems viewing this HTML email, click to view a Text version. <br />Application for Boards / Committee / Commission <br />~ ~ ~ ~ ~ Cc~►~i~~sr~ <br />5UW~AdWeory Soard ~ <br />Piease nots'onv sDeciW Wwwlecao, eiucation, ar 1'ra c4rriently senoitg on Mah Stw.Adyisory Sowtf ani:l woWd W* to becorm <br />expe[ience <br />of the boarr <br />(attach add <br />list dates a1 <br />tD the UwdQn n►om Wwolved in ow city. <br />a Interest <br />tf appuowbe, <br />t aeknowledge Viet !am awara artct aWee to the pmhiN <br />nepotism and cwflicts of trftrest of appantees to'City i <br />attend a# ie 76 pomWA of a# regulOr rreetings Wnd $l <br />understand t Oe nurnbo€ of posWans an a gt"n bcag <br />however, if tam not appointed, t agree to be pkcad in a database for possiblo tuUM nOUROM" +aT IOpKS aT lnmfw- F cw+wy ~Uto <br />inforrnation aliven by ►r+a tn Ois appEicaE#csn ia lsrtm and carrect Wtf any fafte WO M tr tio►'t is W nt gW 10r <br />disqualificaftan. t aufhodze the City ef Faris to verify alt inf(xmatkn prcrvtdof in this aapkation. accon1la~ ~$Pcw" 562 Of t1e <br />Locat Govemment Code, tunderstand that infnrmatim provided in this appticatitm mai be avallable to tfte pualiC erpon ceWee#.* <br />[X] Agree [ ] Disagres <br />* indicates required fields. <br />The following form was submitted via your website: Application for Boards / Committee / Coinmission <br />i <br />. 147 <br />