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Special reasons for wishing to serve on the Board or Commission: <br />What advisory panels, Boards/Commissions have you previously served on? <br />Please list any training or <br />Commission: S uas u.-, <br />experience you have that would be beneficial to serving on the Board or <br />Are you available to attend <br />If no, please explain: J. <br />or evening M -F? <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: Vicki Sannuto Phone: (H) (W) 509-963-2420 <br />Address: 400 E. University Way <br />• Name: Jackie Johnson <br />Address: 333 Watson Cutoff Rd <br />Cir,- Ellensburg <br />State: WA <br />Phone: (H) 509-929-7447 { W ) <br />ltY Cie Elum State: WA <br />zip: 98926 <br />98922 <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 deli ondue( an interview. <br />YOUR SIGNATURE: Date: 1223115 <br />Please return completed form to: rra Kittitas County Commissioners <br />205 W. 5th, 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 />