Community Engagement Committee Application

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Please correct the field(s) marked in red below:

1
NAME:
NAME:
2
ADDRESS:
ADDRESS:
3
PHONE:
PHONE:
4
EMAIL ADDRESS:
5
Prior community service (identify if for Mount Prospect or prior residence):
6
Education and degrees attained:
7
OR if you are a student, what school do you attend?
8
WORK EXPERIENCE:
WORK EXPERIENCE:
9
Why are you interested in serving on this committee?
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What social media do you use on a regular basis (at least once a week)?
11
What kind of activities do you enjoy doing during your free time?