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PLEASE BE AWARE THAT THIS QUESTIONNAIRE

WILL BE PUBLISHED.

The News-Herald
Election Questionnaire

Date questionnaire completed:

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Office sought: Politica I party:


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Female (circle one)

Name: Age:~

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Home address:

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~ngth of reStttider;'l~fq that com.munity: -4-(\s-f\~Yl. I (fl. f} \' , Occupation: VlA\~ch(\ICCvL E~loyer: Marital status:

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of spouse:

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Name and age of any children:

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Political office held 1.

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Municipality

Years served

Elected or appointed?

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Education: School/ city/state High School College Graduate Other Years Degree-Subject or Certificate

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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, improve orfurther specifically would you go about research, and how

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