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Special reasons for wishing to serve on the Board or Commission: <br />Seeking to take a more active role in serving my community <br />What advisory panels, Boards/Commissions have you previously served on? <br />n/a <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission: EXoerlennp wnrkinn nn n vnrinh, of <br />Are you available to attend board <br />If no, please explain: Genen <br />the day or evening M -F? <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: Bruce Coe Phone: (H) 509-857-2355 (W) 509-306-9316 <br />Address: 3942 Hidden Valley Road city: Cie Elum State: WA zip:98922 <br />• Name: Jacob Odiaga Phone: (H) 509-280-3760 (W) 509-857-2235 <br />Address: 480 Dalle Road city Cie Elum State: WA zip: 98922 <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 />D!9".11ysi9nedbykremy CWk <br />YOUR SIGNATURE: `,.��� us <br />Date: 11/5/2018 <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.kittilas.wa.us <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />