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i <br /> }Explain your interest in becoming a member of the East Pleasanton Specific Plan Task Force. .`.f µC�i <br /> necessary, attach additional pages to the application.) � n �� i �d <br /> !i►1lr•to. G+/ � !'�*.ytpr M /f90 • ovm, <br /> Ctividt“legete <br /> lw.v�'/tG ' ' ATIO Gfir_e€ <br /> tie and City of School Dates Degree Major <br /> California Sch.of Professional Psychology 1978-1983 PhD Clinical Psych <br /> Willamette University 1969-73 BA Soc/Pscyh <br /> Cal State, East Bay 1976-76 MS School Psych <br /> Lst any educational achievements Doctorate and Master's Thesis, <br /> EMPLOYMENT <br /> Pr-sent Employer Retired School Psychologist from Newark Unified School District,self employed as Educational Psychologist <br /> i'u;iness Address PO Box 942, Pleasanton, CA 94566 <br /> ,T ode of Business Private Practice -- <br /> Describe your responsibilities educational and psychological consultation and assessments n— <br /> What do you,consider your greatest responsibility, skill, or career achievement? j k_4e4 e -t.tb <br /> An' e Strot-14-4, -IGurt-ik aritt <br /> 44,0 ,/ ) . a/ , - , emizZ bora Frii-to -e:: 1 i 7� La Tom` �d" / <br /> � i. ,a Date G — —/ — -- <br /> ?policant's Signature <br /> turn to: City of Pleasanton <br /> Office of the City Clerk <br /> 123 Main St. / PO Box 520 <br /> Pleasanton, CA 94566 <br /> ;f you have any questions regarding the East Pleasanton Specific Plan process, contact Janice Stern, <br /> !_3 mrnunity Development Dept./Planning Division, at (925)931-5606 orjstern(a�ci.pleasanton.c:a.us. <br /> i <br />