Esquimalt candidate information form

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Candidate profile

* Indicates required question

Name *

Your answer

Age and occupation *

Your answer

Position sought *

Your answer

Reasons you are running (<200 words) *

Your answer

Website

Your answer

Facebook

Your answer

Twitter

Your answer

Contact information (phone, email), not for publication *

Your answer

Have you emailed a photo? *

Yes

Required

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