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t <br /> TY FEV E <br /> BOARDS AND COM '` ONS <br /> APPLICATION FORM <br /> Name: -ZP-Ot'a ee) bCki3\( <br /> Address: CI 2 I 1p — q'lb br' E <br /> Phone: Cl--1-0,6D (35 a- l) (o- H C4'26) S---( 6 S O --1U <br /> Occupation: Sc- )1(710 . - <br /> How long have you been an Everett resident? (d _ iYCf <br /> Board(s)/Commission(s) of interest: Diversity Advisory Board <br /> Why do you want to serve on this board/commission? 0:. 1 ten/ . <br /> 0a-r\65 bust,nest c5-winear- i "C_ ct, v <br /> 'Tj <br /> l n ex-e6fe-4 in rater c.c v4°- ?-�_ <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: e M erYl6P,1r' - R _ l I rs- <br /> Mat < \hst.un Czmr(i ieeo ° Local L m ,ymr -Foca Dir-il,o, <br /> -LjalY 1 r6-1, Lin,L4 ��►�-Y Y 1 - car co u �tsr3t r`-" C}uut <br /> - p E 4n b Pirtn'(� �- Z e ie� t6-I,Y C €-' I <br /> List past or present community involvement: <br /> F-cod -Dn.v‘e,) rn rn ;r ; =a�r C oe c h, ins <br /> 0- 1 9co l 6 e,&. <br /> Additional information may be attached <br /> / <br /> Signatu / / 0,' ' i / <br /> gen. Date q/ 12/6,7 <br />