7-11 Committee Member Application East Nicolaus Joint Union High School District 2454 Nicolaus Avenue Nicolaus, CA 95659

April 14, 2015

Deadline for applying is 5 p.m. on May 5, 2016. Applications submitted after that time will not be processed. If you have questions or need assistance, please contact Karen Villalobos, 656-2255, ext. 105. Contact Information Name:

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Street Address:

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City:

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State:

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Zip Code:

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Telephone Number: ________________________ Email Address:

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Membership Criteria (CHECK ALL THOSE THAT APPLY) Representative of district ethnic, age group or socioeconomic composition Business community member Landowner or renter Teacher School Administrator Parent of SCUSD student Expertise in environmental impact, legal contracts, building codes and land use planning

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If an expert, please specify expertise: _______________________________________

Written Responses Why are you interested in serving on the District’s 7-11 Committee? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Are you personally impacted by the Board’s potential decision to dispose of the piece of property on Palm Avenue. Please explain: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Attach Resumé

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