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o9,.28/96 12:48 $541 687 5414 CITY MGR'S OFF. ii-► PW- MAINTENANCE l /003 <br /> 7. Mo comet mee 1 !a month re f requently, "ietings gengral1 l a t one a o ryz� -h urs. P e'check the ti es whouiould be able to end meetings <br /> _ Mottling (6:30- 8 00 a-m_) oon Hour (12:00/ . � 1:30 p rn.)�, -° ' <br /> ' Evening (After 6:00 p . m:�' :// <br /> 1 <br /> /fie n 4,QJ 00 p.m:) <br /> - o w you 1 : rn about pplying fir a i 1i n om itt <br /> Letter -- Word ofM / <br /> OPTIONAL DEMOGRAPHIC INFORMATION <br /> In 1983, the City Council passed a resolution regarding its interest in appointing persons of diverse race, age, sex, <br /> and disabilities to citizen committees_ By completing the following information, you help us assess whether <br /> appointments represent a broad cross- section of the community. <br /> Male Female Married - Single Number of children <br /> Age; Under 21 21 -34 35 -49 50 -65 Over 65 <br /> Racc: Asian Black — Hispanic Caucasian Native American Other <br /> Disability: Yes No If yes, describe: <br /> Fluent in languages other than English: No — Yes Describe: <br /> Citv Council Policies; <br /> City of Eugene employees: City Employees may not serve on City of Eugene citizen committees except as specifically <br /> provided by City ordinance or as required to perform official City duties_ <br /> Public Information: Information submitted on this form shall be considered public information. <br /> anau 'This pl.ca' 'n will lie ")C t o e s �1 f <br /> t It .App . CfrC for e ie mti itte are updat d ep , <br /> e <br /> s tr nt or father ' oBr►atiorb 6r status o rap Ication, leas t act th . City <br /> O eat6 O1 ✓: <br /> Signature of Applicant Date <br /> Return completed applications to: <br /> City Manager's Office <br /> 777 Pearl Street, Room 105 <br /> Eugene, OR 97401 <br /> FAX 687 -5414 <br />