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1 RECEIVE- <br />KITTITAS COUNTY <br />_ APPLICATION FOR APPOINTMEIMRD OF COMMISSIONERS <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />_RYfYY(\IYIJIYI' <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 />3E&-1i7*N60rjj1tMo FIVNEM0 <br />List any specific seat you are interested in as well as the District you reside in. <br />Date: 10.6a3 <br />J<.• 1. •l � •- <br />Business Address: <br />Ronald WA 98940 <br />State Zip City State Zip <br />Contact Number: 509-46 )-1694 _ <br />Email address: PaSCQea 5J to MSn COM <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 />Retired <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />