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PLEASE BE AWARE THAT THIS QUESTIONNAIRE WILL BE PUBLISHED.

The News-Herald
Election Questionnaire

Date q u estio n n aire co m p lete d:

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Office sought:

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Gender~ Female (circle one)

Name: Age:

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Political party:

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Home address: Length of residence in that community: Occupation: Marital status:

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EmpIOyer:~.s

Campaign Web site:

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Name of spouse:

Name and age of any children:

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Public office experience:


Political office held Municipality Years served Elected or appointed?

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2.
3. 4.
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Non-elected

experience

(committees,

boards, etc.):

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Education: School/city/state Degree-Subject or Certificate

High School
College Graduate Other

(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 thr~specific specifically would you go about ita;areas you'd like to change, address, improve or further research, and how

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