List contact information for 3 personal references and 1 political reference (must be a person willing to recommend you to the Bergeson Series who is currently involved in government/politics).
I hereby request that the Board of the Marian Bergeson Excellence in Public Service Series consider my qualifications for candidacy. I understand that if selected, my attendance is mandatory at all, except in case of family emergency and that a second absence will result in my being dropped from the Series I understand that the Board of Governors of the Bergeson Series reserves the right to revoke membership or graduate status for actions or behaviors that it deems inappropriate or offensive at any time.
Further, I understand that if selected, I will be required to pay a registration fee of $250, as well as my transportation to and from all seminars. Finally, I understand that if I do not meet this required goal I will not be allowed to graduate from the Series.
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