Library Trustee Candidate Bio Form
  1. All Information is Optional
  2. First Name
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  3. Middle Initial
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  4. Last Name
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  5. Gender
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  6. Candidate's Home Address
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  7. Phone Number (Home)
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  8. Phone Number (Work)
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  9. Phone Number (Cell)
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  10. Email Address
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  11. Candidate's Birth Date (MM/DD/YYYY)
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  12. Candidate's Birth City & State
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  13. Marital Status
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  14. Spouse's Name
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  15. Number of Children
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  16. Ages of Children
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  17. Valid Library Card?
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  18. Education:(list in chronological order starting with the most recent)
  19. Degree, Institution & Year
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  20. Degree, Institution & Year
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  21. Degree, Institution & Year
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  22. Work Experience:(list in chronological order starting with the most recent)
  23. Position, Company, Occupation & Dates
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  24. Position, Company, Occupation & Dates
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  25. Position, Company, Occupation & Dates
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  26. Organizations you are a member of:(Civic or Professional list in alphabetical order)
  27. Position, Organization & Dates
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  28. Position, Organization & Dates
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  29. Position, Organization & Dates
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  30. In a total of seventy-five (75) words or less, please explain what your two main priorities will be if you are elected. Please explain how you would obtain any additional funding needed to implement these priorities.
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  31. Please include a recent photo of yourself. If you do not have a photo please contact Dave Berner at 631-265-3994 ext. 231.
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