PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHED.

The News-Herald

Date questionnaire completed:

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Election Questionnaire
Political party:
Name:
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Public office experience:

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Municipality

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(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
specifically would you go about it?

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