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Special reasons for wishing to serve on the Board or Commission <br />wArl+ to 5t<t/ ?ffue o.)r <br />What advisory panels, BoardslCommissions have you previously served on? <br />c L-f/ei '/ ltznn i <br />v'Please list any <br />Commission: <br />4 <br />trainin or experience have that ld be ben eficial to serving on the Board or <br />€0/'1 a/d7a.5 <br />4na <br />Are you available to attend bosrd meetings during the day or evening M-F? <br />lf no, please explain <br />Please furnish two references who could speak to your qualifications for the desired ent <br />r Narne: {oJ ,n,k.ttrzL Phone: {H) <br />Address:Cit-v <br />Name p,frf"t krs4lx-6c,t Phone (H)a <br />*tevbf*&Statc: <br />rztn56*(6 <br />Zi p,Tfrzd <br />(w) <br />State Wr>/, <br />commrsston. <br />interestn the <br />retain your <br />Date t -/ () <br />Address <br />Your application will be placed with others interested in serving on the same board <br />When s vecnncy occurs on the BoardlCommission in which you have indicated <br />Board of County Commissioners msy desire to conduct an interview. Wr: wil <br />applicatlon for 2 ycars from the datc it is reccivcd. <br />YOUR SIGNATURE: <br />Plsase return tro Board of Kittitas County <br />Commissioners 205 W.sth, 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 <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC <br />COUNTY