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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 feet 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 />JAN - 2 <br />Date: <br />Name: <br />Business Address: �t"2,k i'�o-v-vb.,�-6w" ILA Home Address: 40 S ( <br />�ilcv.�l�r.►-*� Irk `9IL6 <br />City State Zip <br />�n tzKy w% IV12(o; <br />City J State Zip <br />Business Phone: Home Phone: SO -1 - 819 - 3`1 13 <br />Email address: k%-, <br />Education: (High school, name and location of college or university, year graduated, and degree): <br />L+-vt4rr.l tJr.,1ti:,o t.:3. litvu':, c v5* L., toc`I _ i:i •'. f -f ./Ae—L.......y.__ -A <br />Current Employment: (job title, employer, employment date, contact, phone): <br />;•c.i� � �.�eluv-4 � itiq I-<-L-y}.s.t�.���' � 'I'L5 S �l <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />