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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 />:e, <br />Date: � <br />Name: C- <br />6, (/a, e lG' _ - <br />Business Address: e), -J Awl Home Address: <br />City State Zip City State Zip <br />Business Phone: //,��cl — P� rZ}} — Home Phone: (!P ,3/,0 — �%� <br />Email address: CJlIwix, W& �� <br />Education: (High school, name and location of college or university, year graduated, and degree): <br />Current Employment: (job title, employer, employment date, contact, phone): �J �/ a � <br />Z,t.� 111.1 _ %/_r Al A'111vp[� -- DG � 1, ' e �C�J <br />u75' -9G ��c,3 <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />