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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 & is subject to Public Disclosure. <br />PLEASE PRINT CLEARLY. <br />BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />r <br />JUL 11 7-1110 <br />i List any specific seat you're interested in as well as the District you reside in. <br />Date: <br />Name: <br />BUSiness Address: �� Home Address: /'O 2— <br />city <br />City State Zip <br />Contact Number: <br />Email address: <br />&//rx J 6 0- 7 w,# Q z4 <br />City Zip <br />L' ur L-4" esK <br />Education: (High school, name and location of college or university, year graduated, and <br />Pi °-S baa <br />S. o s fWw d- <br />IV6 Jo, <br />C crept Employment: (jo title, employer, em&yment date, contact, ph( ii <br />6e <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />