Laserfiche WebLink
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 />Date: I 1A28 <br />Name:v� m 1 <br />Business Address: 12-0-1 S <br />JAN 16 <br />�o JZM Home Address:QUA <br />EAU <br />w <br />C6- 9S <br />City State Zip City State Zip <br />Business Phone: 50g 9GI-1gSC . Home Phone: SC) 4(4)-- 057 <br />Email address:_IrO 0, "'4X, WN "-� 6-k.1r � Z 1 11`V' 4'e <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): <br />-0 n. s . � , _ I , - . , — ^r . _ .1.. c c -r,. r.. k Wi -1 - ❑ C <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />►�t�-zl�oa <br />5(O217 M21 <br />