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APPLICATION FOR APPOINTMENT <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 />r ; ! � ►� 5 tom: ,� F : r «,n1 <br />Date: <br />Name: ^ae't * AQW, �r <br />Business Address: V. 0, 2' Home Address:a <br />b Ltd1 f ` &j-jj txi q841'4_- <br />City <br />8ir'Z• .City State Zip City State Zip <br />Business Phone: �!�Oel • 306- G ZOO Home Phone: . 0 t 9 - 31D z <br />Email address: WA t -VL.S e ix:nn • Lv'M <br />Education: (High school, name and location of college or university, year graduated, and degree): <br />J: ' A .'x . (% W4 sw. <br />� . 1 bN 1 Gt S ra 1~4 V'-4 k' '.d � <br />Current <br />Doti ry •C e� <br />(job title, employer, employment date, contact, phone): <br />.�iiL::.lLS "- '47l t► �L"►r C cY,i - c. .:s '�'L7�+ IUt - <br />C �? a,� `S �vt � a'tt. ••�u•� ct� �ec� �. „^a , <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />