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Special reasons for wishing_to serve on the Board or Commission: <br />-Grl!c.celv.�. v ► 5 r_u v ►- A,r _ <br />it 1 Y^F.., n f .1 4.4 ] ! 1-i f w a r + S �r� - �_ C u� .r �. :Fr7)rS . <br />r <br />What advisory panels, Boards/Commissions have you previously served on? <br />Jv a tv C <br />IU. n5L -" D-1 f -t> - <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission: S LV f y ; n �,,r1 �- , ��ct r z a <br />Are you available to attend board meetings during the day or evening M -F? <br />If no, please explain: <br />(.Yes i ] No <br />Please furnish two references who could speak to your qualifications for the desired appointment- <br />• Name: { .�Vt,+.....-----�.1 W'--'COrc�� Phone: (N) i 7 �� (' ) <br />Address: <br />City: <br />State: Zip: <br />• Name: ktxJ/ieA- Awyy Lkl, Phone: (H) qZq — y08 7 (W) <br />Address: City State: Zip: <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 d - to condo an fntel-view- <br />YOUR SIGNATURE: Date: <br />Please retutn conyl i3 f 111 10: Board of Kittltas Count), Commissioners <br />205 W. S'" Room 109 <br />Ellensburg, WA 98926 <br />509.962-75W FAX: -199,962.'7679 <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECO1 M OFFICIAL PUBLIC RECORDS. <br />