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The News-Herald

Date questionnaire

Election Questionnaire

Office sought:

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Age:

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length

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Elected office experience:

Non-elected

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Name of spouse:

Name and age of any children: ---I.:.........L~~..=......----!....--

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Marital status:

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Education (list degrees if applicable}:

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(boards, etc.):

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office experience
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Employer:

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!.campaign Web site:

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Place of birth:

Business address:

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of residence in that community:

Occupation:

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Date of birth:

Home address:

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Political party:
Name:

completed:

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Organizations:

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Objectives:

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you prefer this as an electronic

'--fee

copy? If so, please contact Cynthia Buchanan

NOTE TO CANDIDATES: Please be aware that this will be used for publication,

at 440-954-7189.

be complete

and thorough.

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