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.Cet�'r S $ 21 <br />APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />v'nr.,. umarro <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 PRINT CLEARLY. <br />BOARDS OR COMMISSIONS FOR WIIICH YOU WOULD LIKE TO BE CONSIDERED: <br />ce <br />List any specific seat you are interested in as well as the District you reside in. <br />Date: <br />Name: -- <br />Business Address: I 0 � 4 'Home Address: <br />City utti Zip City State 71p <br />Contact Number: q7 O <br />Email address:-1T%�U119, e-I'.'e" 1 ouS , W a-. Or <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 />i_ndnG>`14 <br />- gl sv - -- --- _ <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />