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KLGEIVE <br />3 KITTfTAS COUNTY <br />BOARD OF COMM}SSIONERLL <br />APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />�_0illltl MtlfY <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 />4*1n:,,,...i tn✓,AA dJAt—At n 1k11n—.. i <br />' List any specific <br />ecific seat you are interested in as well as the District you reside in. <br />Date: r7l d h <br />Name; <br />Busim <br />Contag <br />Email <br />or <br />Current Employment: (job title, employer, employment date, contact, phone): <br />and degree): <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />