Fillable Delegation Member Interest Form (CITY OF FOREST GROVE)

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Delegation Member Interest Form (CITY OF FOREST GROVE)

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Country of origin: US
File type: PDF

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CITY OF FOREST GROVE P. O. BOX 326 FOREST GROVE, OR 97116 503-992-3200 www.forestgrove-or.gov
A place where families and businesses thrive.
Name:
Cell Phone:
Address:
Home Phone:
City/St/Zip:
E-mail Address:
Passport Status:
Valid
In Process
Please list family members living at home, including you:
Name(s):
Age:
Occupation/Other:
Interests/Hobbies:
Message to Host Family:
Dietary/Health Restrictions/Allergies:
Please list an emergency contact person:
Name: Phone or e-mail:
This form is exchanged with assigned host family. You may attach or include a photograph.
Please submit form to:
Anna Ruggles, City Recorder
City of Forest Grove
1924 Council Street ~ PO Box 326
Forest Grove, OR 97116
aruggles@forestgrove-or.gov
503-992-3235 ~ Fax 503.992-3207
FOREST GROVE/NYUZEN DELEGATION MEMBER
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Delegation Member Interest Form (CITY OF FOREST GROVE)

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Completed 18 July 2020

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