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sou"lFtSit�� + CHAMBER OF COMMERCE
2017 Candidate Questionnaire
Candidate's Name: J:c-/ J c-f £ /Candidate for Position: �If. '7a. c.. u 1v /4auc, I - h5 1 T;at/1 :.tF;:i...._
I
Home Address: City Seu7ic . WA Zip fg, /f?9 Personal E-mail: 7"L.tt/4.vfl f-c kBt/er/ 2-0H , 12� f-
Contact Information:
Employment Status: D Currently Between Jobs
Page 11 of 4
D Currently Employed � Retired Since 2::!2lf!- D Other __________ _
Company/Organization: ________________ How Long? ___ _ Position: Employment Address:
___ Zip _____ _
Please fill out (feel free t use additional space to complete your answers) and return to:
Email: Andrea@Seattl SouthsideChamber.com or Fax: (206) 575 2007
Post: Seattle Southside Chamber of Commerce
14220 Interurban Ave S Suite #134
Tukwila, WA 98168
ALL QUESTIONNAIRES MUST BE RECEIVED BY 5PM on AUGUST 9th
TO BE POSTED TO OUR
WEBSITE WWW.SEATTLESOUTHSIDECHAMBER.COM
AND SHARED WITH OUR MEMBERSHIP
We are looking forward to your participation! Thank you for your consideration.
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