Laserfiche WebLink
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />Special reasons for wishing to serve on the Board or Commission: <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />What advisory panels, Boards/Commissions have you previously served on? <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission:_________________________________________________________________________ <br />____________________________________________________________________________________ <br />____________________________________________________________________________________ <br />____________________________________________________________________________________ <br />Are you available to attend board meetings during the day or evening M-F? <br /> If no, please explain: _______________________________________________________________________ <br />_____________________________________________________________________________________________ <br />_____________________________________________________________________________________________ <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />•Name: ______________________________Phone: (H) _________________(W)_______________ <br />Address: _____________________________City:_________________State: ________Zip:_______ <br />•Name: ______________________________Phone: (H) _________________(W) ______________ <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 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 />YOUR SIGNATURE: _____________________________________________Date: __8/9/21______ <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.kittitas.wa.us