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* 1. First Name

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* 2. Last Last

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* 3. Street Address:

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* 4. Apartment/Unit #

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* 5. City

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* 6. State

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* 7. Zip

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* 8. Cellular Phone

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* 9. Home Phone

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* 10. Email Address

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* 11. Please select the Board/Commission you are applying for.

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* 12. Please explain why you want to serve in this position.

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* 13. What are the most important issues facing this Commission/Board. *

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* 14. What are your qualifications/experiences (please attach current resume).

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* 15. Please upload your current resume.

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* 16. Have you ever been convicted of a felony? *

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* 17. Please confirm that you reside within the Borough of Crafton, and how long.

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