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The Gonzales Quality of Life
Temporary Transactions and Use Tax
Oversight Committee
(Application for Appointment)
Open Filing Until Filled
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"PLEASE PRINT _q.EARL y I
Name: _ _.[ ....... /_\..._Q__.____�-_..;._�---'----'e_w _______ Date of Birth: os /z2i(9a Position Applied for: • Date of Application: lo I� � ? I Address: .S�.. c� P\;2(o
State Zip ode
Primary Phone: -----=.....__-------=---- 'c> - • l - 2l( fo('p Email: ,�kkew Cfo €{;,me,//, ('o � Occupation:
How long have you lived In Gonzales?
EDUCATIONAL BACKGROUND
te Course Year
Briefly describe your vision for the City of Gonzales, and explain how you would like Gonzales to be like in 10years?
Briefly state why you want to serve on the Oversight Committee, and what are your qualifications for this appointment?
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EXHIBIT A