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PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHEr~

The News-Herald

Date questionnaire completed:

Election Questionnaire

Office sought

Name:

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Name and age of any children:

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Education:
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High School
College
Graduate
Other

(Note: Only list schools from which you've graduated and/or earned degrees.Please indicate if currently attending.)
(Note: If you've completed a certificate program, please list in "Other" row and indicate certificate obtained.)
Should you be elected, what are three speCific areas you'd like to change, address, i~;wove or further research, and how

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Whether for past accomplishments or future goals, why should voters elect you?

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