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Please explain why you want to be appointed to the City Council: <br />Please list any previous City of San Leandro Board, Commission, or Committee on which you have <br />served: <br />Please list any community organizations to which you belong or have belonged: <br />Please provide any additional information you wish which covers your qualifications, interests, or <br />training related to this appointment: <br />I have sufficient time to devote to this responsibility and will attend the required meeting(s) if I am <br />appointed. I am also aware that this application is a public document. If appointed, I will file the <br />necessary disclosure documents as required under the Political Reform Act. <br />Signature Date <br />Please return your application by 5:00 p.m. on August 17, 2012 to: <br />Office of the City Clerk <br />City of San Leandro <br />835 East 14`" Street <br />San Leandro, CA 94577 <br />No application will be accepted after the deadline. <br />(Upon submission to the City of San Leandro, this document becomes a public record.) <br />