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<br /> <br />Application for Appointment to Fill Vacancy <br />SAN LEANDRO CITY COUNCIL, DISTRICT 6 <br /> <br />Resident of San Leandro: <br /> <br />Yes_ No_ <br /> <br />Number of Years Resided in District 6 <br /> <br />Please Type or Use Blue Ink Pen <br /> <br />Registered Voter: <br /> <br />Yes_ No_ <br /> <br />Name: <br /> <br />Home Address: <br /> <br />Male <br /> <br />Street <br /> <br />City <br /> <br />Zip <br /> <br />Female <br /> <br />Home Phone: ( ) <br /> <br />Wark Phone: ( ) <br /> <br />Email: <br /> <br />Current Employment Information <br /> <br />ORGANIZATION <br /> <br />Address <br /> <br />Position <br /> <br />Dates <br /> <br />Responsibilities <br /> <br />Education/Training/Certification <br /> <br />Please explain why you want to be appointed to the City Council. A separate sheet may be attached. <br />