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Special reasons fur wishing to serve on the Board or Commission <br />What advisory panels, Boards/Commissions have you previously served on? <br />None <br />Please Iht my mining 9r experience Vito have Ihat would he henefirial to serving on the f)o rtl or <br />�l ,ra) pbwe experience with Se in govarnmenl ntlmg and can provide a strategic rens <br />to concep�S artd'Metrlikehhoottof'beMglertd <br />xs'aliable to attend board meetings during the day or evening M -F? <br />�f no, plrax explain. <br />Please furnish two references who could speak to your qualifications for the desired appointment <br />• Name: linda_SehacUff Phone: (H) (W) 607-4105 <br />Address: _City Slate: Zip: <br />• Name: .lamwc (;afidinn Phone: (H) (W) 0183=7111 <br />Address: - City State: ___Zip. <br />Your application will be placed with others interested in serving on the same board or commission. <br />When a vacancy occurs on Ibe 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 dale it is received. <br />j—�� <br />YOUR SIGNATURE: ' Datc: <br />Please retum completed form to: Board of Kitdtas County <br />Commissioners 205 W.5th, Room 108 <br />Ellensburg, WA 98926 <br />509.962.7508 or bocc@cmkittilas.wa.us <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />