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HIGHWAY 12 CITIZENS TASK FORCE <br />POSITION QUESTIONNAIRE <br />NAME: <br />ADDRESS: <br />PHONE: HOME BUSINESS <br />1. Summary of education background: <br />2. Summary of experience background: <br />3. What interested you about service on the Task Force: <br />4. What concepts, if any, do you have on issues related to the <br />location of an upgraded Highway 12: <br />5. Any other pertinent information; <br />6. When would you usually be available to attend meetings: <br />Monday Tuesday Wednesday Thursday Friday <br />A.M. Early P.M. Evening