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<br />e _ <br /> <br />BACKGROUND <br /> <br />EDUCATION <br /> <br />INSTITUTION <br /> <br />em AND STATE <br /> <br />DATE LAST ATTENDED <br /> <br />MAJOR <br /> <br />Professional Background: <br /> <br />Community Activities I Hobbies: <br /> <br />References: (include address and phone number) <br />1. <br />2. <br />3. <br /> <br />Additional Pertinent Information: <br /> <br />Goals I Objectives: <br /> <br />Attachments: YES .NO <br />You are welcome to attach additional information, such as, resumes, letters, certifications, etc. that further <br />descn"be your professional and personal background. <br /> <br />Please return this form and any attachments to: <br /> <br />City of La Porte <br />City Secretary's Office <br />PO Box 1115 <br />La Porte, Texas 77572-1115 <br /> <br />Revised April 1999 <br />