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APPLICATION FOR APPOINTMENT SEP 1$ <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />Citizen boards and commissions are critical to the effective functioning of County government. We <br />appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief <br />application. If you wish, please feel free to attach a fact sheet or resume to this application. This <br />application form is considered a public document. PLEASE PRINT CLEARLY. <br />BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />Date: <br />Name: GI V` 1� `0, CA <br />Business Address: (._W\) Home Address: 6 -ale N- Tloml Me <br />yoo E. ljrxq • W 4tA <br />City State Zip City State Zip <br />Business Phone: ,5PI -- 91,3= I y I I _ Home Phone: _ � �� . 6 p a� � y Z 3 <br />Email address _?q,rp <br />>t - 'm "k,,r _� —\Pj 0 • e J0 <br />Education: (High schaol, ame and io tin of co le a or university, year graduated, and degree <br />f p R 12 I <br />C irrent Employ anent: (jolt title. 7enilr oyer, emplloNnicril date, contae 0wile): <br />'9L L �r of �1 [ Gti Jr'� �M CSS���N <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />