PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHED.

The News-Herald
Election Questionnaire

Date questionnaire completed:

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Office sought: Politica I party:

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tv ilL,: etz I< D / '~6::./;v-~7L/ Gender@1 Female (circle one) Age: ••. 0 Home address: 636 OrGk48'~ Ad, 0/·1IC->t.,.,-~hRj/?JH L/7'c797
Name: Length ot residence in that community: Occupation:

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..fr~de6-r-rmployer: Name of spouse:

Marital status:

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Name and age of any children:

Public office experience:
Political office held
1.

Municipality

Years served

Elected or appointed?

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3. 4. 5.

Non-elected experience (committees, boards, etc.):

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Education: School! city/state
High School College Graduate Other

Years

Degree-Subject or Certificate

(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, improve orfurther specifically would you go about it? research, and how

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

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