HomeMy WebLinkAboutVaness Swarorski-Piedra Application Sep 10 09 09: 13P 772-696-4664 P. 1
APPLICATION FOR APPOINTMENT
r` This application and its contents is a Public Record
Town of Westlake 3 Village Circle, Suite 202 Westlake Tx 76262
Fax (817) 430-1812
Tel: (817) 430-0941
www,westiake-tx.org Ell townhail@westake-tx.org
Economic Development Corporation Historical Preservation Society
Planning and Zoning Commission Ell Texas Student Housing Authority
Tree City USA Advisory Committee 2r Public Art Society of Westlake
Westlake Academy Foundation Board ❑ Other:
Applicant Information
Applicants Name: VA,®J
Address:
City,State,Zip:
How Long Have You Lived At This Address? ,2_
Email Address:
Home Phone#- Fax#:
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Occupation, Experience/Degrees held: -'ki ►'4
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Why do you nt to sell on this committee?
Do you have any political conflicts of interest? li
no you have any related experience?
What do you feel you have to offer this committee?
Signature of Applicant:
Dated:
Office.Use Only
Received By Date: Q-I oi-CA
Appftalion forApMAftant 06-25,06