HomeMy WebLinkAbout02/21/1989, - APPLICATION TO CITY ADVISORY BOARD JOAN REQULSKI APPOINTMENT
`r,"f. fit= M1'.• •; " a' s;hG',, REAPPOINTMENT: RECEIVED '
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APPLICATION FORiAPPOINTMENT/REAPPOINTMENT. TO-A CITY AW RY7BOH1 " '`
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oan Regu•P�sk.c ,, - »' Advisory Body'.Appl led•.For: `.;It' •'�'
}S ti•,� ,i r ?� aw{Namec.ofil,Applicant N
1 PAomoti,ona•2 Coordinating Committee
Il,yv ! yri4s fiylS '!� sb '.
703 I.6tau San Lug Obi Ago. `
Fes idence�Street`Address & City 2 Human' ReZztionz Commizzion
(If'a second choice is indicated, a
Y'�I ° 736-5873 - = ' 541-5461f second. interview will
,be required. ) -
i rti x` #a Daw.Phone , y �.; f` Evening' Phone
1iarAre you a regi stered,goter';of ,the city? Yy YES NO
� .
AY- How longthave;,you-'lived 'in :the city? : 3'cleanh
3T�-PresenV.occupation:andemployer:',• oiiiice •manager. Cat Poto .f
'Education;.'BS dewe Buh."Admin.,`MA degree in Education Admin. Sexvicez
em bership .in•organizations:,Mu tang Boosttytz
6 y?.P.lease•specify-'the:reasons` why'you,feel you should be appointed to this .
isory;body''(usel�'reverse'-side for additional- information) :
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P f„ter r•, �.. �" i r 'C 4u i�:4;£t3FCQC�'.i✓: "j'1j<�;{. /�l ,. . .� " "•:'h
I'have worked 'on`vaAious Aund.'haL6.ing'aeti,yiti,e.a'1'6oA''.the'Mu6tanq BoodteAS Ctub. <
f'' J is:��' ::.-j,`.w iy. ^'3/..„;�.. ♦ 1.}a✓,1 •J•�.i},i• .r, `'!!'l”
3 eaAA
Mcg aa6it:on at Cat Potq .inyotye,a va4iou-6 g4ant pAogAamb. I pAov.Lde Aepoats boa
the:,F.i.nanc.iat Manager;lVice.rPAeh.ident o6"Buo. Abba U, Vice-PAe�sident o6 UniveJLzlty
.ti... . y(.{. .. . �.1.%.., �1 ,.'fie i.' • . ' .Jr
Re Pati ovus and the Scho Qauh.ip:Committee'w,i th`Ae_gaAd �to the Endowment Accoun t�5,
• r'Loan'Funda,'tand Sehotan.ahijo Aecount,6 maintained 'by -the`Uni.veAzity. .. I .pnepcyice
;;.7. Previous •.service on.+.,any SLOyadvisory .bodies (names and dates) :.'
w
"No -:
'PLEASE NOTE::`=tIf•'you. are appointedi.to"the. Planning':Commission, Architectural
>'ReviewKCommission, or'.;the .City..,Ho.using Authority;?,,you.,are required by:Sta_te. ' ' `.
`tlaw.'to'file`i{a Statement `of,Economic'"Interest'disclosing`'all'°reportable(iinterests
'he
copy'j!of4,xhis�f orm,.�is aval
.1d.by, you- at the'.time of appointment' A•; lable''from
`"7j the :City Crkle
" . , , 1 .' { 4HIKCirb i ,,N r^ I f'Irr}y , •'y. - .r
xApplicationslare accepted year;:round '.however, ifyou are applying for a'.current
cancy, your.::application'must-be ,returned to 'the City .Clerk by
1 in- order to .be considered for thecurrenC'round of''interviews..
**#T0 BE FILLED, OUT BY' CITY CLERK'.S'OFFICE***
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�N -0rc-"�Interview,'Date �: Screening%Committee
c -
**!'.TO-BE• FILLED',OUT BY SCREENING':COMMITTEE•CHAIR**
for
.T.'R,iw'..,. i r .. 9tP}� .`,. ,. " ;, .,fit /..:. �_ - w��s „•�„ � J.^,',rt: y, ,k.
R
ecommend Appointment:. YES . �] NO ,
I'ba•,Recommendation is for: -'., .Unexpired ;terFull term
, .
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