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Special reasons for wishing to serve on the Board or Commission: <br />• tAJ.0a i r�1 �e It f- 40 GBKr���Jc.� 7Z /' qr~. <br />■ (a re .J <br />*. <br />iA �► 2 iIL� I h <br />�.� -,4o rO..r,.nKn,7`� <br />/A D raw c 7��►^ et^ w r'"', P" a y� QN <br />APC Ct <br />►+ Maar <br />What advisory panels, Boards/Commissions have you previously served on? <br />c, w +t r• w.r� o r.ti M i � G !'✓ U o g, -2,00 % er 198 7 <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission: e u,- c: rn o� �� c <br />o G a ria n c e P,% 4 A- J�Co%G <br />w. /: ysw e- 2 SeyA <br />Are you available to attend board meetings during the day or evenin M -F? <br />If no, please explain: 'FT'1" e- rk <br />r <br />, <br />s2LK22,.+ <br />Eiie�s. �c�rn i OL , <br />Please furnish two referenc'e's who could speak to your qualifications for the desired appointment: <br />//6 <br />■ Name: i k e. F -c /' ✓*.o-, _Phone: (D) ' 96Y YFCO (W) S°$ ' 2122-03/2- <br />Address: <br />d3/.-Address: City: r d ' State: 4,44 Zip: <br />• Name:10.� j ] D wtt. Sd-r Phone: (H] � ' �� r" ��°z3(Wi 20 6 "" a 3 —/39-5 <br />Address: Citys�aL yft State: A)4 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 Commissioners may desire to conduct an interview. We will retain your <br />application for 2 years from the date it is received. <br />YOUR SIGNATURE: Date: Is <br />o <br />Please return completed form to: Board of Kittitas County <br />Commissioners 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 />CONI N1 rSSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />