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<br />Additional information: Please provide any additional information you wish which covers your qualifications, <br />interests, or training related to this appointment. <br /> <br />Please list any previous City of San Leandro Board, Commission, or Committee on which you have served, as well <br />as any community organizations to which you belong or have belonged. <br /> <br />I HAVE SUFFICIENT TIME TO DEVOTE TO THIS RESPONSIBILITY AND WILL ATTEND THE REQUIRED MEETING(S) IF I <br />AM APPOINTED. I AM ALSO AWARE THAT THIS APPLJCA TION IS A PUBLIC DOCUMENT. IF APPOINTED, I WILL FILE <br />THE NECESSARY DISCLOSURE DOCUMENTS AS REQUIRED UNDER THE POLITICAL REFORM ACT. <br /> <br />SIGNATURE <br /> <br />DATE <br /> <br />Please return to the City Clerk's Office, City Hall, 835 East 14th Street, San Leandro, CA 94577 <br />