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<br />BACKGROUND <br />EDUCATION <br />INST1TiJTION CITY AND STATE DATE LAST ATTENDED MAJOR <br />Professional Background: "- ~ ~ -- ~ .~ .~ ., ~ _ <br />.~ -, - - -s u-- _ ~. ,_ <br />. -.~ <br />Communiry Activities /Hobbies: = - -~ C~ - <br />- !'1 LT \ J b 4 1 ~ \: d ~V ~ \ ~ 1\,rY~ l~ ~.. ~:c ~ ~ \= \ ~a A'n'n V,~ i~ 1 l ~1 `~41 -t-T Nit y <br />References: (include address and phone number) <br />2. vSG a. ~~ "Z.~.E~.::._ ~~-y~ \ D :~~ 1=c, ~-~ {~~.~> \ ~Qr o ~`is ~ ~ \ - L1 "1 i - <br />3. C.\FTt~ ~~~._:G.2 \l~l~.l~ .~v~~. Vlrv V ~ .~.-.fi:.r ~i~1-\\1•.~ <br />Additional Pertinent Information: <br />Goals /Objectives: <br />s <br />Attachments: YFS ~% -, j~10 <br />You are welcome to attach additional information, such as, resumes, letters, certifications, etc. that further <br />describe your professional and personal background. <br />Please return this form and any attachments to: ~ _ <br />City of La Porte <br />City Secretary's Office <br />PO Boa 1115 <br />I.a Porte, Tesas 775'72-1115 <br />Revised April 1999 <br />