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PLFASF. NOTEThis is a fill -in -and -print PDF form It cannot be edited and saved to your hard drive unless you have the full 'd•1-: . `WM <br />of Adobe Acrobat If you are not using the full vei Sion you must complete this form and then print it, or print it and complete it by hand <br />+ AN,urt .ro,y <br />">4 APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />Ab ('U Nil' <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 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: <br />Name: f— ,-A <br />Business Address: <br />City State Zip <br />/ <br />Contact Number: / ag 'g <br />Home Address: <br />City State Zip <br />Email address: C er-, <br />Education: (High s9)ool, name and location of college or university, year graduated, and degree): <br />Education: <br />Current Employment: (job title, employer, employment date, contact, phone): <br />KITTITAS COUNTY <br />BOARD OF COM,, 115SIONFfi. <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />