PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHED.

The News-Herald
Election Questionnaire

Date questionnaire completed:

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H t6HUtND H13 LITY
Office sought: Political party: Name: Age:

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Home address:

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Length of residence in that community: Occupation:

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Campaign Web site:

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Employer:

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Marital status:

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Name and age of any children:

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Public office experience: Political office held
1.

Municipality

Yearsserved

Electedor appointed?

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

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Education:

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High School College

Years

Degree-Subject or Certificate

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Graduate
Other

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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, impro:,e or further research, and how sMcifiCallY would you go about it?

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