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04-319Eunc1T File # V �� J' Green Sheet # �� 3 � p Presented By Referred To RESOLVED, that the Saint Paul City Council consents to and approves the appointments and reappointments, made by the Mayor, of the following individuals to serve on the Yonth Fund Board. 2 4 5 6 10 11 12 13 14 15 16 17 REAPPOINTMENTS 18 William (Billy) Collins - representing Adult/Ward 1- term expires March 23, 2005 19 Jim Kelley - representing Adult/Ward 4- term expires March 23, 2005 20 Miriam Rykken - representing Adult/Ward 3- term expires March 23, 2005 21 23 24 25 26 27 RESOLUTION CITY OF SAINT PAUL, MINNESOTA � Committee: Date APPOINTMENTS Margaret (Peggy) Laub - representing Adult/Ward 6- term expires March 23, 2005 Tegan McDonough - representing Youtl�/Ward 6- term expires March 23, 2005 Ronald Moccia - representing Adult/At Large - term eapires March 23, 2005 Maddie Orenstein - representing Youth/Ward 3- term e�ires March 23, 2005 Jessica Wright - representing Youtl�/Ward 4- term expires March 23, 2005 Kurt Zilley - representing Adult/Ward 7- term expires March 23, 2005 � Green Sheet Green Sheet o�{- 3�9 Green Sheet Green Sheet Green Sheet Green Sheet � DepartmenUoffice/councit: Date Initiated: Mo -�a,�s�� ,�-�� Green Sheet NO: 3013578 CoMact Person 8 Phone- ���eM SeM To Person InitiaVDate Kurt Schultz � 0 's � Z66&590 ASSign 1 or's ffice De rtmentDirector Must Be on Council /�qenda by (Date): Number 2 • Attorne - For Routing 3 or's OtLce Ma or/Assistaot Oftler 4 ouncil 5 i Clerk Ci Clerk 7otal # of Signature Pages _(Clip All Locations for Signature) Action Requested: Approval of the appoinhnents, made by the Mayor, of Mazgaret (Peggy) Laub, Tegan Mcdonougty Ronald Moccia, Maddie Orenstein, 3essica Wright and Kurt Ziley and the reappoinhnents of William (Billy) Collins, Jim Kelley, and Miraim Ryken to serve on the Youth Fund Boazd. All terms shall exp'ue on Mazch 23, 2005. Recommentlations: Approve (A) or Rejec[ (R): Personal Service Contrects Must Answer the Following Questions: Planning Commission 1. Has this person/firm ever worked under a contract for this departmenY? CIB Committee Yes No Civil Service Commission 2. Has this persoNfinn ever been a city employee? Yes No 3. Dces this personffirm possess a skill not normally possessed by any current city employee? Yes No Explain all yes answers on separate sheet antl atWCh to green sheet Initiating Problem, Issues, Opportunity (Who, What, When, Where, Wh»: AdvanWges If Approved: Disadvanqges If Approvetl: Disadvantages If Not Approved: ToWlAmountof CosURevenue Budgeted: Transaction: � ��r�;��,�.3� �?�,,,�.�e Funding Source: Activity Number: Financiallnformatlon: AAA� '9 � ���x (Explain) r P/-'l .g d ��g�g� . ay- 3�°I CITY OF SAINT PAUL 390 Ciry Hall Randy C. KelLy, Mayor IS West Kellogg Boulevard Saint Paul, MN 55102 To: Saint Paui City Councilmembers Council President Dan Bostrom Councilmember Jay Benanav Councilmember Pat Harris Councilmember L,ee Helgen Councilmember Kathy Lantry Councilmember Debbie Montgomery Councilmember Dave Thune From: Kurt Schuitz Date: March 17, 2004 RE: Youth Fund Board Telephone: 651-266-8510 Facsimi[e: 651-266-8513 Mayor Kelly has recommended the appointrnents of Margaret (Peggy) Laub, Tegan McDonough, Ronald Moccia, Maddie Qrenstein, Jessica Wright and Kurt Zilley, and to the Youth Fund Boazd. Their terms shall expire on March 23, 2005. Mayor Kelly has also recommended the reappoinhnents of William (Billy) Collins, Jim Kelley, and Miriam Rykken to the Youth Fund Board. Their terms shall expire on March 23, 2005. Attached is a copy of the resolution nominating these individuals as well as the applications for the new appointments. Please remember that certain information on the applications is classified as private and should not be released to the public. Feel free to contact me at 266-6590 if you have any questions regarding these appoinhnents and reappointments. Attachments cc. Eric Thompson � � �:; �� �„�f.�„ � �._. � . -��.,- . _ i°;?� � `� 2��� � � D �l- 3i9 RECE ;VE� Application for Committee, Board, or Commission �UL 31 20�2 Please return to Mark Engebretson Mayor's Office, Room 390 City Hall 15 West Kellogg Blvd., Saint Paul, MN 55102 �nAYOR CrF;C` Phone:651-266-8533 Fax:651-266-8513 ?he Minneso�a Goeernment Data Praccices Act (Mianeso[a Sta[utes Chapcer 13) �over¢s �he City's use of the informaciou coa�ained ln iliis appLcation. Some of the informatiou soughi in this appLicaxion is pri.�ate da�a under the Ac[. The requested iuformation «•Lll be used by [he appoin[ing au[horit}� [o carry ou[ the Ci�S�s official appointmeat rzsponsibilities. You are not required to provide any information. Howe+�er, failure to ans�.•er the applica�ion questions may cause t6e appointiug authority [o rejecn yout application. T6e majo[iry of items comained ia �his application ace publiu, includin� ne+ne, address, employment, skills, trainin� and experience, and afe tl�erefore available to anyoue requestin� ic. The remaiui¢g iwms on t6t applicatiou form are classiffed as pri�ate. The pru•ate data �s available only to yuu and to other persons in the �ity who, because of work assignmen[s, reasonabiy rzqurte access [o Ihe information. I�ame f/'J�yY �°� Home address Telephones PI<aseinclude E-mail add: �U � Planning District Council City Council Ward �' Preferred mailing address '�ry�e a S Q.66Ye s'seet c�ty stam ��p � • ._ Occupation Place of employment C(�.���Q n, J.L6� Employment address '� � "' ����-� Sl.0 � �.3ea Committee(s}-appliedfot ��-h �____ rr�h'1" {�pLr�e� '' What skills/training or experience do you possess for the committee(s) for which you seek appointment? ����i��+���3i � � JI�"Lv't�l,�l�1Z.t��sLt��s�t��.r� / , ,. , � PersonalReferences Name o y- 3I9 Address�r1� � � ,�'. �Q�� � � N � ll(D > Telephones ��ys�) �9� -�y1�9� Please include Area Codes home wo:k ,.rx.. I�ame Addre Telephoaes�(o51) - �7Lo_QSt3s'�l �(e1__�)_Q)a - �� g Please include Area Codes holce work ,..hP. I�'ame Addre Telephones � � Piease include Area Codes home � work Reasons for your interest in this particular committee Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? . _ � _ In an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. �White (Caucasian) � Hispanic �Black (African-American) � Asian or Pacific Islander � American Indian or Alaskan Eskimo � Male Female � Date of birth �� J) c7�� Disabled: � Yes No �' If special accommodations are needed, please specify How did you hear about this opening? ^ YiC /hoin�,r�f01t page 2 of2 � oy- 31°1 Appiication for Committee, Board, or Commission Please return to Mark Engebretson Mayor's Office, Room 390 City Hall 15 W est Keilogg Blvd., Saint Paul, MN SS IQ2 Phone:651-266-8533 F ax:651-266- 8 5 13 'Lhe Minnesota Government Dnta Practices 9ct (Minnesota S�atutes Chnpter 13) goveres tht City's use of the informaiion concained in this application. Some of the information sought in this application is private data under the Act. The tequested information will be used by the appointing authocity to carry out the City's official appointmznt responsibilities. You are not required to provide any information. However, faiiuse to answer che application yuestions map cause the appuinting xuthurity to reject your application. 7he majerity of items contained in [his xpplication are public, including rtame, address, employment, skills, training and experience, and are theeefore available to aoyune requesting iL The remaining items on [he xpplication form are cJa:sified as priva[e. The private data is nvailable ortly to you anA ��o person in the City who, 6ecause pfwork asaignment., reasonably require access to the information. ��3R1CI1l.i�� IIIIAI �� �,��IY1���� Homeaddress ��'� '�, ���� Telephones �- - 1�_�j� Please includeArea (;odes E-mail address -��,1 7- �J Planning District Counci] S Preferred mailing address Occupation Place of employment Employment address Committee(s) applied for 0� � City Council Ward 6 page 1 of2 �Vhat skills/training or experience do yau possess for the committee(s) for which you seek appointment? � , j - ii , PersonaI References Name Addre Telep Please incluae Area (;otles Name ��h �,�� Address Telephones PlensP :^^�••ae e.e., n..ae.. Name Addre Telephones Please include 9rea Codes home work Reasons for your interest in this particular committee D�- 319 o�her 0 Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances`? 9 �_n. In an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. �White (Caucasian) � Hispanic � Black (African-American) � Asian or Pacifie Islander � Amexican Indian or Alaskan Eskimo � Male Female � Date of birth G 21 Disabled: � Yes No � If special accommodations are needed, please specify How did you hear about this opening? page 2 of 2 �l'� home work other x ,.�.. ., .._ . ..—_ ... . OFFICE OF TSE MAYOR 390 CITY HALZ, SAINT PAIIL� MINNESOTA 55102 266-8525_ FAX: 266-8513 Name: lfAiJA-j� fn�_ �1Fr�rid �.,._ � �<� °`�� �u� � FEB 0 8 2fl02 Home Address: Street Citp � � Telephone Number. (Home)�/p�1��vy7 �0�l1 a CAorkll6S/ ,�5��—�b �/6 (�p,X) Planning District Cauncil: L �1r.�l�tu� �l� Citp Council �7a=d: P=eferted Hailing Address: [�(pO - /9ti,p Sr.PA„/� �� `�S/jsL� Ahat is youx occupation? �(?-JL7"•`1�i 2� �2��7"i ff Place �oY Employment: �T / ,/LD rX /�2'�O�R�i / i�� � /} . Co�ittee(s) Applied For: �, pit�l Y U� P/!�y/G/�-yv�,s ��-,u�' /�OR�L,,,� , Ahat skills/training or esperience do you possess for the committee(s) £or vhich you seek appointment? r, 04Lf..9�. i�+. � i.Stsi✓/•i +�-st_ ��h'1— t�i':.n;,;e . . `��- o,z-� �%�l�,s . . I . ;�.� �.v .7'%� .✓of ���d �S . f�►„ o � �t.✓i T� l-� is/a � ti�(/� � �Pi�l�GIL 'd'� [2e . . 64�d . � �e�-l.� �1.� : _� q �-•.` �-- ,-,�v��c y s�- un e, ny- � �x.. R� � rA- ;�° -qshC L�'�.:.� r p,,. I�-e i bo.�.�. The information included i.n this application is considered private data according to the Hinnesota Goverment Data Practices Act. As a result, this information is not zeleased to the general public, (OVEIL) Rev.4/21/93 PERSONAL REFERENCES O� �/ Q Name: �ji�l �C��nNs01'� 7 Address: �O ! 7 /�• /%�S . �� �i�-J� _ /�7/`"i ,���1 9 Yhone Name: �/h✓ �/9"�.1/"�A'I� Address: � -�� �� Phone Aame i f�srul /'�,� - ��i 39- ��6 7 �� Address: ���J W y/✓N ¢. �}l�i � I � /�ih�t� /��� 5���� Phone: CHome) I� 3,' � GY� '�S a� l�ork) �� ro `/.3 =�'l 7/ Reasons for youx interest in this particulax committee: � � Have pou had previous contact with the committee for vhich you are making application. - I£ so, vhen, and circumstances? . � - ,_- ., In an attempt to ensure that committee representation re£lects the makeup of our community, please check the line applicable to you. This i.nformation is strictly voluntaiy. �� Qhite (Caucasian) Hispazic Black (African American) Asian or Paci£ic Islander American Indian or Alaskan Eskimo � Male ,` / Female Date oE Birth: �/� 7�(D� Disabled: Yes No � If special acco�odations are needed, please specify. ���i" Hov did you hear about this opening? i•(yMilerLS � ��^x- � o�- 3� 9 Application for Committee, Board, or Commission Please return to Mark Engebretson Mayor's Office, Room 390 City Hall 15 West Kellogg Blvd., Saint Paui, MN 55102 Phone:651-266-8533 Fax:651-266-8513 The Minnesota Government Da[a Practices Act (Minnesota Statutes Chapter t3) governs the City's use of the information concained in this appiication. Some of the information sought in this apptication is private data under the Act. The requested information will be used by the appointing auchority to carry out ihe City's official appointment responsibilities. You are not required to provide any information. However, failure to answer the applicaCion questions may cause the appointing authority to reject your application. The majority of items contained in this application are public, including name, address, employment, skills, training and experience, and are therefore available to anyone requesting it. The remaining icems on tfie application form are classified as private. The private data is available only tc you and to other pecsons in the City who, because of wock assignments, ceasonably cequire access co che information. �/\r _ '. - �, f�.��..., 1� ' '� Name � '�� � ! � � ' � A� �F .� Home address - �' •�:-;-. ; . - ...!-- � -.._.'�. �„f,� � � 1 i GC=., , , ' sneea eiry stsxe � zip � ti ' ,� , Telephonas � }!� �c; ' "�Lt � � f-c ,�f � -/"�-_ _ _ PleaSeinclutleA�eaCodes - � � � home work fax 4 T f' . : E'TR3113d(1LBSS I � \� � ; �`�. f ,�`� `�.. �' —. �,�., ,'iY i Planning District Council Prefeiced maiting address � %� %�� �;��'.,� � / street � �1J,% -- Occupation ��!'� , Place of employment Employmentaddress Committee(s) applied �`- Caty Council Ward �n. � � �f �/ I� ,�'�' �� i� `. ; l�; i � What skillsltraining or experience do you possess for the committee(s) for which you seek appointment? � ,, � ' 1 c � r � } „ �-�, ���+ �,_� �l� , I �� ��U;U�� \�1,�`� ���� L �� � ,�`,,, VS , ,, � ".� — r i .� � � � ,� ' :�s� (y � -:-t, ' '1�!� �� '�.. � ^ �' ' � �� ����,��, L ��-'li�� L i C�,���'l �t -�-;C�7.'� (� " � �,�_C i1 �. '���� ,�,;,' � �� — ."�` 1� � . - � ; ' �; �'� � — ', � `; = � - s - n . � �_ . , ._ ,_1 L r � �-�- ^i_� -;-� `-'n `-� ` _ . .1 '� �_. i -{,i=� :rL ` S`� �. �� J 1\ � i�V. �.rt V ��.%_�` �1, - (;` , G; � I \ I`,-� i l� �, ; �Y" � ' t�'=-r �-4-�.'�.� � {1 �''- � � -. .�. � �',`�.:� ,�al .0 �� � �1.'� �'�:'l_� �"�f`� . --;�� 1 ._ _ � . - � � _ � �� �T � ( :l \� ,�-, �.r," --� . � ,, r, `c � �' —; !i t � ` ` r _ � � � _ � - ^'� ; r � i { - v}— � r. .� , _ - i.'; � C _� �-� _ � � ��� n' `v1 < , c� , '� ✓C�;C:�= . c`� � i� � PersonalReferences -�. ,� '��'�` , � , ,,; q ,. �{., ..� _ , ��� - ..,,. �i � �. �• Address ' Z.�� _ r �L l, — l �j_ -, Telephones f.�-.-� � � *' %�- Please indude Area Codes home -T � Name i('� �i i� � '�' `;�at� "�; ; '��� /'Address � -� � ' -r-< —� �,' - i � �elephones , �-- _ �--, .-� � , _ r� Please include ArAa Codes home ' �� � �.�"' �% '� " �YJ' Name tf: � ,� ;,,, : p'. %� �� �,. "s-. � ,.;y � " 1��. .r.E� �` — � Aaaress C ", � �.� - � Telephones �C���� ���! �� — �� � � f, - '� Please include Area Codes home 1� �i : �; , Name t"� : i,._ .��-'" —,-. Other other other 1��,=�-�=- : � ���. , , . ----�— �' ��� '+, ; ��. �,�.� �, ;.� t�: �� - -'r —�� � •��� , ,- > � � .; �� i �"�,� - : r � ��Y2� Ct; ' C ,.i_�,,; �-, ._ _ Have you had previous contact with the committee for which you are making application? If so, when, and under what cir_�umstances? , o�-3r9 "�,�.:; ;,���� r� �.,�_�. - ,:, � _ , i � . �L y1L ,��.. _. �, �v���:�, :-�Nl��u ��_,c.'L i �i�7�:!2!rx:;1 . work �. i � work work Reasons for your interest in this particular committee .- �, �: �" �;--�' � - i - f� , .�, t C - �" L . s , �U� � -_ + �'� 1 , In an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. >' White (Caucasian) � Hispanic �Black (African-American) � Asian or Pacific Islander � American Indian or Alaskan Eskimo � Male Female �' Date of birth —" �� � Disabled: � yes No'�� � � If special accommodations are needed, please specify — r� How did you hear about this o enin � ' -`—^ =—� i P B• _ P\1 �i�.. ,� . -�� page 2 of2 i� � o �- 319 Application for Committee, Board, or Commission Please return to Mark Engebretson Mayor's Office, Room 390 City Hall 15 West Kellogg Blvd., Saint Paul, MN 55102 Phone:651-266-8533 Fax:651-266-8513 The Minnesota Government Da[a Practices Act (Minnesota Siatuces Chapter 13) governs [he Ci[y's use of [he informa[ion con[ained in this application. Some of the information sou�ht in t6is applicatiou is priva[e da[a under [he Act. The requested information will be used by the appointing authority ro carry out the City's officia] appoiniment responsibilities. You are not required to provide any information. However, failure to answer the application questions may cause the appoin[ing authority to reject your application. The majority of items contained in [his application are public, including aame, address, employment, skills, training and experience, and are therefore available to aayone requesting it. The remaining items on the application form are classified as priva[e. The private data is available only to you aud to other persons in [he City who, because ofwork assigamen[s, reasonably require access to the informatioa. Name �� �J" S 1�� �� ��� I" Home address o`-� (� �" ������ �� S`�1 �Gl��� .M�U Telephones ����s�'���� Please tuclude Area 1 E-mail address ln/'� l Cn�i � work C�V�WIVt-t Planning District Council t� City Council Ward Preferred mailing address Occupation �-�`�"�� vp l �S Placeofemployment .J!-1'�/�I � l�ilyar�� �i��«� Employment address 3�� C(� L�/I � l ��- l`�i� �� M N�; iG� Committee(s) applied for VI What skills/training or experience do you possess for the committee(s) for which you seek appointment? �_�1CC{�V� Y�'1�( t�XP�'�iVL� tti'C�� 1�1 �1J ��-�-�-<? C(�} � �1Gf V� �I1Y1�G( G{ -�'l�Ci Q�G1FlCG I l�/ r T 1�lGt U� i�U Ot� -f-tn.� C�tgrj-Gjl G E �t �CG1ti�t�l �� 1-�1Gi� I V�'_ G� t�e1 U� �1WICVl1�l GI�G''vl-}- -}�V�c2. ►�IP�C��S �� S i In�v� GtlSo inGo( �=V�.cp�UV�i ���+� �v����� C-�cr�rc 1.1"t��5 I�c GtrV�C'i C( - } - ���v �e���� %'i!r%�/1 +S i Vt S`� • l�i t, I I. ' �Fc b� ov� -i-i� Gfl �P� �L wi� �1 �ov� � r�; �-+-v� �c��� hcvi-I Gv��i (_eG�rvt Gt�vt-t w�Gt+ � Iwtl'�r �v� � �Jl � � '� ��' �4� page 1 of2 �1 - �(/t � �iiV1G � ��C'�!� 51-( �'VlbliC,SC�1C'OIS�Z �iX'��rw� �� s cti �l Cv� vt� �so�l ��'1 s w � l I�� �h%��iGi� I, O i' Sfi -(-�'it tit � Gt � �O�Ol1C�i( � �� �� � i+�/ � v � r w v v' P � rG+C( t�1a-Ic�/. t�G-F- V� �/ - P�tV� � / /� ; Personal References Name o�- 3�9 Address 3�� �� I�� �� � � Telephones �� P{easeintlnde Area Cades home work o[her Name L��lil M�i1�jGi (}-P �-�G �il'��� Address Telephones ��V �/``' ��� � r-IC� Gl ��D�O — i Please inNude Area Codes home work other Name �i((.QQ/�� ��{�Q� Address �pa� 1V � �� �'� �1.-1- 1 I ' l�� � MJ� �� �� Telephones ���— �D�3 Please include Area Codes home work other Reasons for your interest in this particular committee r� G� �.(OVi Vi� G1GRV1 l� t,�VtO G� (�t�U (�t Y� 1 Vl S°� - 'f�1Vt I � Vl ��'In IS (itJC>"vt l�i( C-�o�rCl � v�� G►�ti �� CL1�t � c�ra�{ r }-a �GV1i 1 b Vt� �o -i�1�e. U�y - -- Have you had previous contact with the committee for which you are making application? If so, when, and under what circumstances? In an attempt to ensure that committee representation reflects the makeup of our community, please check the box applicable to you. This information is strictly voluntary. � White (Caucasian) � Hispanic �Black (African-American) � Asian or Pacific Islander � American Indian or Alaskan Eskimo � Male Female`� Date of birth ' ���� � 7 Disabled: � Yes No� If special accommodations are needed, please specify How did you hear aUout this opening? �naYGr ��l ! y page 2 of 2 w -! �� � g�CENE MAR u � 2�02 PLEASE RETURN TO: LUCILLE JOHNSON CITIZEN SERVICE OFFICE 15 WEST KELLOGG BLVD. p�pYOR OP�� EN(65 )266�8690 FAX: D�f- 3! v�y a.^• ;�li`J :,,c. MAR i 9 2002 `�;i � Y C:LtF�C Notice of Rights when Providing Information You are being asked to provide information for your committee application. The attended use of this information is to evaluate your application. You aze not obligated to provide the information, but without it, your application may not be considered. Officers, a�ents and employees of the City of Saint Paul will have access to the information you provide as necessary to the performances of their duries. In addition, the data mazked with an* is public information and will be available to the general public. *Name: � *Home A�dress• ��l le �l {� �T2�c.� *City: S � P n�1 `N� h * Zip: Telephone Number(s): (Include Area Codes) Fax Number: Email Address: �x� 1�5� ��+�i-t��ra3 � b5t- a�s� l��il a`d�1-ol�1a *Planning District Council: ` � *City Conncil Ward: -- - *Preferred Mailing Address: ��l\�`1 i� S� ST �A�J� �1 r� Sslab ' *What is your occupation? *Place of Employment: Vcl.�vn12.� 1��2ec�o2 - �� *Committee(s) Applied For: _ � �1 � *What skills, training or experience do you possess for the committee(s) for which you seek appointment? C�`JTl�2 ��RC�- 2x���ev.cQ W�T� ��.8 Fvc�l�r�e5 Con,m,�tee� � 7 ov � �un �- 2� �e e e c.Q Wc•2� ,,,� �n� T� � �� `� u V1� c\/.�.nn izn7iw5� Qn� ti�o�� C1no� y- C1RL �v� 'cnT onC ' �, vUtL � p�{L L-l�dL»5�� `'� h\v nT 2� 2 ��T 5�� ll5 j 2�Qi2i cv�c.�2 V.h1R.1�� �- � v.� c>i�.�e`�2��T��on �R�sTarLn �(t1.���iS w�Th id.� r1�2T� STe�2 (� �` �US2.V �c 1'»� ��,T I NC,. � �<�`Z.,� S�a�1 t e r.G - �`S b 5-�� ti'�'T� �X..��e..� 'R2SV�� . \` , (over) [Remember to Inclnde Telephone Area Codes] o�/- 3i9 S � 2 ��2v�5 �� . dress: ��Ja �6 Sc.�-e.� �cle �v"u� ST P/�1 � 1�'l YI J' S/( (� Phone: (Home) � 5 t-�o �i�f - q`� � �i a �Vorkl Name: Q�i c_���v n_� L L� t��a �� Address: �J�l �-Pwsuh `I��� C� ST nn�/1� �'ln S51(�� Phone: (Homel b�t-'1`1\- `�1b�e�o �'orkl Name: ���g-��o,r� �o4�nsoh Address a�3C� � t��na,C� ST, S_ ST �V��� �� 11 �S ll `i Phone: (Flomel �51 (Work) ��• �Si �{ (1'7 Reasons for your interest in this particular committee:� �,,,.� a�.,s�„ ,��,x,eS'r � n i l.as� ���.. nf�.r��-,T' \ v� � rv�c.p �n� 1 4��� n we T j hh � '� P�s2,2.A '��:,� r���P�� � pr� �2 Pt� � c'C�.�s_ �wr.T c�� �.� C i T�-T.av� y��:: �a�' p: eviae�s c�atac± with the committee for which you are making application? If so, when, and the circumstances? If special accommodations are needed, please specify: � How did you hear about this opening? 1��w� n�s � v- w��5 ,�