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`, Atl♦ 1 I,CC <br />e <br />APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />Citizen boards and commissions are critical to the effective functioning of County government. <br />We appreciate your interest in wishing to serve Kittitas County and ask that you complete this <br />brief application. If you wish, please feel free to attach a fact sheet or resume to this application. <br />This application form is considered a public document & is subject to Public Disclosure. <br />PLEASE PRfNT CLEARLY. <br />BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />List any specific seat you are interested in as well as the District YOU reside in. <br />Date: `-} 13 (�) /'2- <br />t ` <br />j l <br />Name: —o <br />Business Address: _ <br />Home Address: <?, \ A <br />City Stale Zip ' 1 —7 City <br />�bG —� <br />Contact Number: Oc)(:� (V�-T <br />Email address: <br />State 7.ip <br />30 'i <br />Education: (High school, name and location of college or university, year graduated, and degree): <br />Current Employment: (job title, employer, employment date, contact, phone): <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />cz <br />