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PLEASE NOTE: This is a fill -in -and -print PDF form It cannot be edited and saved to your hard drive unless you have the full version <br />of Adobe Acrobat If you are not using the full version you must complete this form and then print it. or print it and complete it by hand <br />APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />Citizen boards and commissions are critical to the effective fimctioning 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 fi-ec to attach a fact sheet or resume to this application. This <br />application form is considered a public doctunent. PLEASE PJUNT CLEARLY. <br />BOARDS OR CONUMSSIONS FOR WHICH YOU WOULD LIKE TO BE CONSiDURED: <br />t <br />Date: 9/ Zo/ 13 <br />Name: _ L -v 0 �P_►S�Z _. <br />Business Address: <br />Home Address: -?O �joX 2`i <br />city state zip cl, y ip F—e -� to g zip <br />��e <br />Phone: _ S ti — `) Home Phone: 5 (p L/ <br />Email adds-ess: <br />Education: (Nigh school, name and location of college or university, year graduated, and degree): <br />iz�Yz? t-'rl tom; S c.tEor, � — - A ,. tl1 :� j -2 s l 1, <br />Current Employment: (job title, employer, employment date, contact, phone): <br />K)o 1U c <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />