Laserfiche WebLink
Special reasons for wishing to serve on the Board or Commission: <br />n <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission:_ <br />Are you available to attend board meetings during the day or evening M -F? <br />If no, please explain: (-%.a <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: �"^- ``' Phone: (H) (W 9 -q6 3— l ( <br />Address: Ste''- as M . VIC— <br />City - <br />State: Zip: <br />• Narne: LaA 4 Pho e: 03 <br />�ddress: City ,State �T Zip: lie' <br />Your application will he placed with ofeers interested4a 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 Commissioners may desire to conduct an interview. We will retain your <br />application for 2 years from the date it's received. <br />YOUR SIGNATURE: [Jatc:- <br />Please return completed form to: Board of Kittitas County Commissioners <br />205 W. 5th, Room 108 <br />Ellensburg, WA ,98926 <br />509.962.7508 or bocc@co.kittitas.wa.us <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />