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HomeMy WebLinkAboutPienaar, Alcohol, 2-23-09Fill out the following information and click send to apply for the Community Alcohol Coalition. Date: 2/23/09 Name: Racheal Pienaar Physical Address: 3648 Palm St., Bozeman, MT 59718 Mailing Address (if different): same Email: ncw4470@aol.com Phone(s): 406-539-1454 Length of time in the Bozeman area: 24 years Occupation: MSU student Employer: Have you ever served on a City or County board? (Yes/No) No (If so, where, what board, and how long?) N/A Please explain your relevant qualifications, interests, and experiences. I am interested in being a part of the community, and I think a good way to do that is to be involved with the Community Alcohol Coalition. I have been a member of the MSU Students In Free Enterprise club for one and a half years, and a student for three. References (Individual or Organization) Please include name and phone for three references. Gary Bishop 406-579-0940 Zane Burns 406-570-3456 Jim Tarpey 406-579-4263 I understand that sending this email is the same as signing my name. (Yes/No) Yes Special Note: This application is considered public record. Application contact information may be displayed on the City of Bozeman website.