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<br />, <br /> <br />. <br /> <br />. <br /> <br />BACKGROUND <br /> <br />INS1TI'UTION <br /> <br />EDUCATION <br />CITY AND STATE DATE LAST ATIENDED <br /> <br />MAJOR <br /> <br /> <br />Professional Background: T ~~d7-"" ...l~.u~Gffi ~(\CLc....~\\ l.~ T\~ ~ ~ l\u\t) - <br />~'}~\-.):a .~c~ .\\O\-~ ~ ~~ :J.: \ '-? ~^~ '- - T ku ok \.3..7'\ At""'t'"\ u ;:"l_,", ~~r>U];;.'j) <br />\0 do. 6~~ ~v" 'i... L..A~;:c" \ ~ ~ t! \\2..'\ c...1L~,u r., ~ L..}~U~ ~ <br />.. <br /> <br />Community Activities / Hobbies: ~~~~ ~Q~c,.\~C~ \ h.~r'tJ..,~ ~.-t..... \>~~~\=.~kl.i L <br />--^c:...~"J..:-L4 'L)VO~U~ \ U ~~~ \)...~...,.,,)(~ J ~~\=\~^~ I'~~~ l.:r~~~ "",""T~I\!~ <br /> <br />References: (include address and phone number) <br />1. rn\-"" ~U{"'.~~ \D~~\ ~r..c-"-"'( \i..OL\..i'h) . \ A<VC!~ <br />2. :-rc.'.~u '1-E:"M. "",~O;:::\L \D:1.':).. \=('l'l.~~ ,,~~ \ '~'\:l{)c,}.s..~ <br />3. 'l...\t=T~ u..~\..:J.C?.. \()~'J.~. ~\.\.E\ L ~r.L !L,' \ kr.::)nc;...."\& <br /> <br />~~ \ - ~ "'\ \ .. & \5. ~ <br />~&\ -~,\ -l...\1S4 <br />';A& \ - \4.'\\ .. sq \ ~ <br /> <br />Additional Pertinent Information: <br /> <br />GO~~ O~~es~\~ ;~~~~~~~~~u~ ~~.~~..~~c=~~~~ ~~~~~~~ <br /> <br />~c.cL U 'I \L \ \':) '- '""\0 C....Q..r.,.") uD \.u <br /> <br />Attachments: YES /'" NO <br />You are welcome to attach additional information. such as, resumes, letters, certifications, etc. that further <br />describe your professional and personal background. <br /> <br />Please return this form and any attachments to: <br /> <br />..c- <br />.- ":J <br />r <br /> <br />eity of La Porte <br />City Secretary's Office <br />PO Box 1115 <br />La Porte, Texas 77572-1115 <br /> <br />Revised April 1999 <br />