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Special reasons for wishing to serve on the Board or Commission: <br />As Department Chair for CWU Aviation, I represent the Professional Pilot program & <br />operations for the university._ <br />What advisory panels, Boards/Commissions have you previously served on? <br />See attached CV. <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission: See attached CV. <br />Are you available to attend board meetings during the day or evening M -F? pl Yes I I No <br />If no, please explain: _ <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: Dr. Paul Ballard, Dean Phone: (H) tW1509-963-1411 <br />Address: CWU, Coll. of Ed. & Prof. Studies (ytv: Ellensburg_ State: WA , .Lip; 98926 <br />• Name: Dr. James Gaudino_ Phone: (H) (W) 509-963-2111 <br />Address: CWU, Office of the President City Ellens _uL State: WA tip: 98926 <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. <br />YOUR SIGNATURE: /`r`=]LYt��i Y cn/f'`z u) Date: <br />Please return completed form to: Board of Kittitas County Commissioners <br />205 W. 50, Room 108 <br />Ellensburg, WA 96926 <br />509.962.7508 FAX: 509962.7679 <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />