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PLEASE NOTE: This is a fill•In -arid-print POF form. It cannot be edited. and saved to your hard: drive unless you have the full version <br />of Adie o? Acrobat. If you are n9l using the full version you must eort►plte this form and then print it, or print it and complete it by hand. <br />APPLICATION FOR APPOINTMENT <br />TO IGTTITAS COUNTY BOARDS & COMIMIISSIONS <br />Citizen boards and commissions are critical to the effective functioning of County government. We <br />appreririte your interest in wishing to serve Kit#itas 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.P-I RA..VE PR1NYfi C1,EARLX <br />BARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />e <br />Date: _44--ULL <br />Name: JaRK S[4'1 J <br />r <br />I <br />Business Address: <br />Home Address: 02 1() ��,{r1.�,�• <br />L*City W� QPj� z� <br />�� State Zip City Slate <br />Zip <br />Business Phone: <br />Home Phone: 591 77 <br />Email address: �7SE— �. L — <br />Education: (l ligh school, <br />,I <br />n� gme and location of college or university, year graduated, and degree): <br />��IP.rrs�I�r� <br />Current Employment: (job title, employer, employment date, contact, phone). - <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />