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<br />} ~..J' 2U05 <br />RECEiVED r~OV - <br /> <br />CITY OF MARTINSVILLE INFORMATION FORM <br /> <br />FOR APPOINTMENT TO CITY BOARDS, COMMISSIONS AND COMMITTEES <br /> <br />***Please Print or Type All Answers*** <br /> <br />NAME: Sandra L. Haley / Mike <br />(If married, please give spouse's first name f) <br /> <br />105 Dearborn Street <br />Residence Street Address <br /> <br />Martinsville, VA 24112 <br />Same as residential address <br />Mailing Address <br /> <br />City <br /> <br />Zip Code <br /> <br />TELEPHONE NUMBER: <br /> <br />Home <br /> <br />276-638-3803 <br /> <br />Business <br /> <br />276-632-3110 <br /> <br />OCCUPATION/EMPLOYER NAME: Self, Sandra L. Haley, Attorney at Law <br /> <br />REFERENCE: <br />CHOICE OF COMMITTEE: School Board <br /> <br />PLEASE PRINT OR TYPE HERE why you would like to be considered for <br />appointment to this committee and what particular qualifications <br />you feel you have: <br /> <br />I have ~m "",i IJht- Y""'::lr n 1 n c::nn .::It- ~ 1 hl:>rt- H::lrr;!": hp r1thmnpn Drll; n Hi] Is for <br /> <br />grades K through 2. I have an abiding interest in education in general and <br />in the City schools in pcrrticular. There are clearly challenges to be met, <br /> <br />given the state and federal mandates; however, with progressive leadership and <br /> <br />an eye towards always doinq what is in the best interests of the students, the <br /> <br />the City schools can meet and even exceed the goals it sets for itself. I hope <br /> <br />to use my skills as a pcrrent and a professional to contribute to this endeavor. <br />(please continue on back) <br /> <br />RETURN TO: Clerk of Council, P. O. Drawer 1112, Martinsville, VA <br />24114, NO LATER THAN <br /> <br />Date Received (to be completed by Clerk of Council) : <br /> <br />II/a 11 OS <br /> <br />. , <br />