Application- Martin, Wanda Wilson CARAC 9-9-10
Received w CITY OF ATLANTIC BEACIi BOARD COMMITTEE MEMBER APPLICATION FORM 1 0 2010 Please checkIthe box beside each Board or Committee that you are applying to serve on Ifyou check
more than one please rank your interest in each board committee by order of priority Office of City Clerk A summary of each cboommaitrtede is available on page 2 ofthis form Code Enforcement
Board Community Development Board Pension Board of Trustees Tree Conservation Board 1 Cultural Arts and Recreation Advisory Committee Board Member Review Committee C APPLICA NAME i I
1 I III AY DATE r D ADDRESS Vi Fnri5 nv1g4 P rj 1 EVENING PHONE f6 j 176 5990 DAYTIME PHONE 1 64 r 7 f 2 EMAIL ADDRESS WO1710 r 1 n 2 1 1SADFAX L s y Please explain any employment experience
cboommaitrtede experience aonrd community volunteer experience relative to the cboommaitrtede applying for flbrda i c Yuen c a 1 t iCii 0 cd m k rid rr sv j j TnvJIe L 1 L e rc r4 5
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4 Li A A L Please provide a brief explanation ofyour interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this cboommaitrtede
n f I Cu avorwo 4 Q OA c S a n Pa D P4 hie c lnc ncr 1YPe A s anc 0 rGr corn 5 y oLA r e00 r k Ai o c t Vv a r a4 w 5 ca Qc 4O 0 YC p0 e iU4h k 0 cAceSG 1 Nel Xp v 1i to c t t of k Cho
s l s on r i in e 5 Cw1 u14 4Irr C t v e S i41 ntA Q Jri e pc E r Ic f n 04 6 C 1 LOd o p 1 IC 3cc2ch 4U 1 5 nc1 eo4i r Al e Awn k e Please return completed form to Donna L Bartle City
Clerk 800 Seminole Road Atlantic Beach FL 32233 PLEASE NOTE This application will expire two 2years after date of submittal 1