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Special reasons for wishing to serve on the Board or Commission: <br />t i : t■ i=t- y i i I r i I R i i I i■ <br />Ir <br />- is r e ' r. t • ■ n r ••■ '■ FR t ♦• t■' '■ • 1'R' R: kf rr is■ ■ <br />*t W.Attmllrt <br />s - ra - ■ n �■ r R e :a ■• E - r - ■ <br />What advisory panda, Boards/Cornmissions have you previously served on? <br />Rocky Mountain Elk Foundation, Mule Deer Foundation local committees <br />Please list any trainisor have ave [hat would be benetk al to servia on the. Board or <br />Commission; I have Fd+ y rs of retail experience, 20 years of law enforcement experience, <br />have work a�1ti1-�Y�-w— <br />as—d0n. Panafmyr- rocix"mm was ng <br />Are you available to attend Imard meetings during the day or evening M -F? efyes 1 1 No <br />If no, please explain: <br />Please furnish two references who could speak to your qualification,, for the desired appointment: <br />■ Name: Steve WOrI@y _ Phone: (H) (w► 509-962-2033 <br />City: <br />- — - S1:3tC_ Zip:, <br />Name: SCOft Mon„ =e plane: (m 509-699-8763 m <br />Ate: <br />City <br />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 Commission ay desire to conduct an interview. <br />YOUR SIGNATURE: Date: /-- / 7 - IS -2 <br />Please neuro completed form to: Board of Kittitas County Commissioners <br />205 W. 50, Room 108 <br />Ellenslnarg, 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 />