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Special reasons for wishing to serve on the Board or Commission: <br />I wish to bring my experience in healthcare my passion for caring: for others and my sense of <br />duty to our community. I have over 20., ears in healthcare, mostly in emergency nursing and a <br />broad range_ of past experiences in many states. I feel fortunate to have found Ellensburg WA <br />to make My home and I wish to give back to the community what I can. I can bring a voice to <br />the table to share my thoughts and observations for each of the three Boards listed above. All <br />three represent a population that I care dee1211 about and can advocate for. <br />What advisory panels, Boards/Commissions have you previously served on? <br />Dept. of Health -South Central Region Trauma Care Council -hospital representative <br />Kittitas County EMS and Trauma Care Council -hospital representative <br />Kittitas County Community Network Board Member -current Co-chair <br />Kittitas Countv Drua Action Task force -previous member <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission: Healthcare Professional since 1995 with 19 years as an ED Registered Nurse. <br />Current role at.KVH as..the Nursing Director of the ED and Urgent Care (Cle Elum) <br />Public Health Nurse Certificate (CA -expired). <br />*Please see CV for emDlovment historv* <br />Are you available to attend board meetings during the day or evening M -F? <br />If no, please explain: <br />11 Yes [ ] No <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: Rich Elliott <br />Address: 400 E Mountain View <br />Phone: (H) <br />City: Ellensbu <br />509-933-7231 <br />State: WA Zip: 98926 <br />e Name: Clay Myers Phone: (H) {4V}.509-962-7525 <br />Address: 307 W Umptanum Rd City Ellensburg State: WA Zap: 98926 <br />Your application will be placed with others interested in serving on the same board or commission. <br />When a vacancy occurs on the Board/Commission in which you have indicated an interest, the <br />Board of County Commissioners may desire to conduct an interview. <br />YOUR SIGNATURE: 1 L Date: <br />Please return completed form to: Board of Kittitas County Commissioners <br />205 W. 5'h, Room 108 <br />Ellensburg, WA 98926 <br />509.962.7508 FAX: 509.962.7679 <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />