PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHED.

The News-Herald

Date questionnaire completed:

Election Questionnaire

Office sought:

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Age:

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Home address:

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Length of residence in that community:

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Municipality

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Education:
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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, improve or further research, and how
spec~icallywould

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