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Date: �16 �o <br /> CITY OF HASTINGS <br /> APPLICATION FOR COMMISSION APPOINTMENT <br /> NAME OF COMMISSION YOU ARE APPLYING FOR <br /> �y�N R1 R C. <br /> NAME 1 � � 7 L�l f.� c I L . G/ 0w -� <br /> ADDRESS 19 '-( S A � <br /> V <br /> PHONE NO. (HOME) LO7.211 (WORK) 6 51-3 a'8-r 1 z 1 Y <br /> SIGNATURE <br /> The Information below is optional. The applicant mayor may not provide the data requested. Use <br /> additional sheets of paper if necessary. <br /> EMPLOYMENT DATA <br /> Place of Employment <br /> Position Held SSC,C-NJ <br /> � <br /> Brief statement of <br /> position content SYS <br /> EDUCATIONAL DATA <br /> High School Attended G-r-e, Q--( Pre.\nk e <br /> College(University Attended U•W .. S+cQciAs <br /> Major Q%o\. :!l l R601-,KC Degree e.s. <br /> rn��t <br /> Technical, Vocational or <br /> Trade School Attended <br /> Course of Study <br /> Post Graduate School <br /> Major Degree <br /> Other(enter data not covered above) <br /> F I LEMARKSWRC.APP <br />