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TOWN OF BARRINGTON, RHODE ISLAND), ‘This form will be used by any person interested in serving on the varius committees of the Town. RESUME FORM wome: Melia Heme Address: Home: AD i yi RI oz puss tigaine, Cn vena tte a er Sh, Providenci Emaii address: WAG) hee- _ _ Ry 02402 Telephone No.: Home: (HOT) 245-4976 office: (AD) 212-3500 VOLUNTEERING SERVICES TO: ky ye ae iatione jamd of Committan EDUCATION; High Schoo! ova cottage: wiwercsiti EMPLOYMENT HISTORY: (list most recent employment first), Name of Company City, State Type of Work Have you ever served, on a committee in Barrington? Y@4 In another community?___ Please ist: OU ae alia Waniaias Other volunteer experience (name of organization, position) Eawvinaton Land Cower vation “ust (Male, a Director iB How long have you resided in Barrington? 4 WEAN Yvewe Previous address Derementh Ri, kan keber ML Please explain briefly your reason(s) for applying for an appointmentto this particular committee: a Lewy, Vae oli Wie ie Mw te endlole me te mae valuable condi nS Avr 5 buda Any process, ¢ ‘What special talents and experience do you possess which would be useful to the committee? Tam an attomney and Mae oxtenciw. eyperienee. be & par tipawt wi othey munitipal nnd non-yeyt Committees Would you be representing any organization? NO If yes, which one? THE TOWN OF BARRINGTON DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR DISABILITY IN THE EMPLOYMENT OR PROVISION OF SERVICES. Please be advised that pursuant to Chapter 2 of Title 38 of the Rhode Island General Laws, al the information provided by you to the town in connection with your application for an ‘appointment to a town board/committee is deemed a Public Record subject te disclosure ‘fo any person who requests the same. Applicant's sone WibwaNewe Date tu 10, 204 ____ = RETURN THIS FORM TO: TOWN CLERK TOWN HALL, 283 COUNTY ROAD BARRINGTON, RI 02806

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